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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $17.78 Typical High $19.95 | Professional | None | $5.37 | $17.78 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $19.95 Typical High $19.95 | Facility | None | $10.72 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $19.95 Typical High $38.02 | Professional | None | $19.50 | $19.95 | $38.02 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $17.78 Typical High $79.43 | Facility | None | $14.45 | $17.78 | $79.43 |
Medica Setting Professional Modifier None Typical Low $6.03 Median $8.91 Typical High $14.13 | Professional | None | $6.03 | $8.91 | $14.13 |
Midlands Setting Professional Modifier None Typical Low $19.50 Median $19.95 Typical High $38.02 | Professional | None | $19.50 | $19.95 | $38.02 |
Midlands Setting Professional Modifier None Typical Low $25.12 Median $38.02 Typical High $48.98 | Professional | None | $25.12 | $38.02 | $48.98 |
United Setting Professional Modifier None Typical Low $6.31 Median $8.51 Typical High $11.48 | Professional | None | $6.31 | $8.51 | $11.48 |
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 $1.51 Median $2.69 Typical High $3.02 | Professional | 55 · Aftercare only | $1.51 | $2.69 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.78 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.00 | $1.78 | $2.00 |
Where Nebraska sits
The same service costs 2.9 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· 16th of 51
$14.13
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.