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 $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $12.59 Typical High $16.60 | Professional | None | $3.80 | $12.59 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $14.13 Typical High $14.13 | Facility | None | $7.59 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $14.13 Typical High $26.30 | Professional | None | $13.80 | $14.13 | $26.30 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $12.59 Typical High $79.43 | Facility | None | $10.00 | $12.59 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.17 Median $6.31 Typical High $10.47 | Professional | None | $4.17 | $6.31 | $10.47 |
Midlands Setting Professional Modifier None Typical Low $13.80 Median $14.13 Typical High $26.30 | Professional | None | $13.80 | $14.13 | $26.30 |
Midlands Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Midlands Setting Professional Modifier None Typical Low $17.38 Median $26.30 Typical High $34.67 | Professional | None | $17.38 | $26.30 | $34.67 |
United Setting Professional Modifier None Typical Low $4.47 Median $5.89 Typical High $7.94 | Professional | None | $4.47 | $5.89 | $7.94 |
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 $1.23 Median $1.86 Typical High $2.45 | Professional | 55 · Aftercare only | $1.23 | $1.86 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $1.26 Typical High $1.66 | Professional | 56 · Pre-op care only | $0.81 | $1.26 | $1.66 |
Where Nebraska sits
The same service costs 5.0 times more in Hawaii than in Rhode Island. 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· 13th of 51
$9.77
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.