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 $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $4.68 Typical High $6.17 | Professional | None | $2.57 | $4.68 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $5.25 Typical High $5.25 | Facility | None | $2.57 | $5.25 | $5.25 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $5.25 Typical High $9.77 | Professional | None | $5.13 | $5.25 | $9.77 |
Medica Setting Facility Modifier None Typical Low $3.72 Median $4.79 Typical High $79.43 | Facility | None | $3.72 | $4.79 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.55 Median $2.29 Typical High $3.89 | Professional | None | $1.55 | $2.29 | $3.89 |
Midlands Setting Professional Modifier None Typical Low $5.13 Median $5.25 Typical High $9.77 | Professional | None | $5.13 | $5.25 | $9.77 |
Midlands Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $12.59 | Professional | None | $6.46 | $9.77 | $12.59 |
United Setting Professional Modifier None Typical Low $1.66 Median $2.19 Typical High $2.95 | Professional | None | $1.66 | $2.19 | $2.95 |
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 $0.39 Median $0.69 Typical High $0.91 | Professional | 55 · Aftercare only | $0.39 | $0.69 | $0.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.46 Typical High $0.62 | Professional | 56 · Pre-op care only | $0.26 | $0.46 | $0.62 |
Where Nebraska sits
The same service costs 2.5 times more in Hawaii than in Vermont. 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· 11th of 51
$3.63
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.