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 $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $16.60 Typical High $21.88 | Professional | None | $5.13 | $16.60 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $18.62 Typical High $18.62 | Facility | None | $10.00 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $35.48 | Professional | None | $18.20 | $18.20 | $35.48 |
Medica Setting Facility Modifier None Typical Low $13.49 Median $16.60 Typical High $79.43 | Facility | None | $13.49 | $16.60 | $79.43 |
Medica Setting Professional Modifier None Typical Low $5.50 Median $8.32 Typical High $12.88 | Professional | None | $5.50 | $8.32 | $12.88 |
Midlands Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $35.48 | Professional | None | $18.20 | $18.62 | $35.48 |
Midlands Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Midlands Setting Professional Modifier None Typical Low $22.91 Median $35.48 Typical High $45.71 | Professional | None | $22.91 | $35.48 | $45.71 |
United Setting Professional Modifier None Typical Low $6.03 Median $7.94 Typical High $10.72 | Professional | None | $6.03 | $7.94 | $10.72 |
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 $1.62 Median $2.51 Typical High $3.31 | Professional | 55 · Aftercare only | $1.62 | $2.51 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.66 Typical High $2.19 | Professional | 56 · Pre-op care only | $1.10 | $1.66 | $2.19 |
Where Nebraska sits
The same service costs 2.3 times more in Montana 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· 15th of 51
$12.88
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.