How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $1.35 Median $4.47 Typical High $5.89 | Professional | None | $1.35 | $4.47 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $5.01 Typical High $5.01 | Facility | None | $2.69 | $5.01 | $5.01 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $5.01 Typical High $9.33 | Professional | None | $4.90 | $5.01 | $9.33 |
Medica Setting Facility Modifier None Typical Low $3.63 Median $4.68 Typical High $79.43 | Facility | None | $3.63 | $4.68 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.48 Median $2.19 Typical High $3.47 | Professional | None | $1.48 | $2.19 | $3.47 |
Midlands Setting Professional Modifier None Typical Low $4.90 Median $5.01 Typical High $9.33 | Professional | None | $4.90 | $5.01 | $9.33 |
Midlands Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Midlands Setting Professional Modifier None Typical Low $6.17 Median $9.33 Typical High $12.30 | Professional | None | $6.17 | $9.33 | $12.30 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.09 Typical High $2.82 | Professional | None | $1.58 | $2.09 | $2.82 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.44 Median $0.68 Typical High $0.87 | Professional | 55 · Aftercare only | $0.44 | $0.68 | $0.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.44 Typical High $0.59 | Professional | 56 · Pre-op care only | $0.28 | $0.44 | $0.59 |
Where Nebraska sits
The same service costs 2.3 times more in Hawaii than in Connecticut. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nebraska· 17th of 51
$3.47
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.