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 $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $6.61 Typical High $8.71 | Professional | None | $3.72 | $6.61 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $7.41 Typical High $7.41 | Facility | None | $3.98 | $7.41 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $7.41 Typical High $14.13 | Professional | None | $7.24 | $7.41 | $14.13 |
Medica Setting Facility Modifier None Typical Low $5.37 Median $6.76 Typical High $79.43 | Facility | None | $5.37 | $6.76 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.19 Median $3.31 Typical High $5.50 | Professional | None | $2.19 | $3.31 | $5.50 |
Midlands Setting Professional Modifier None Typical Low $7.24 Median $7.41 Typical High $14.13 | Professional | None | $7.24 | $7.41 | $14.13 |
Midlands Setting Professional Modifier None Typical Low $9.12 Median $14.13 Typical High $18.20 | Professional | None | $9.12 | $14.13 | $18.20 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.16 Typical High $4.17 | Professional | None | $2.34 | $3.16 | $4.17 |
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 $0.55 Median $1.00 Typical High $1.29 | Professional | 55 · Aftercare only | $0.55 | $1.00 | $1.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.66 Typical High $0.87 | Professional | 56 · Pre-op care only | $0.37 | $0.66 | $0.87 |
Where Nebraska sits
The same service costs 2.2 times more in Minnesota 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
$5.13
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.