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 $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $15.85 Typical High $16.98 | Professional | None | $4.37 | $15.85 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $17.78 Typical High $17.78 | Facility | None | $9.55 | $17.78 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $17.78 Typical High $33.11 | Professional | None | $17.38 | $17.78 | $33.11 |
Medica Setting Facility Modifier None Typical Low $12.88 Median $15.85 Typical High $79.43 | Facility | None | $12.88 | $15.85 | $79.43 |
Medica Setting Professional Modifier None Typical Low $5.25 Median $7.94 Typical High $12.30 | Professional | None | $5.25 | $7.94 | $12.30 |
Midlands Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $33.11 | Professional | None | $17.38 | $17.38 | $33.11 |
Midlands Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Midlands Setting Professional Modifier None Typical Low $21.88 Median $33.11 Typical High $43.65 | Professional | None | $21.88 | $33.11 | $43.65 |
United Setting Professional Modifier None Typical Low $5.62 Median $7.41 Typical High $10.00 | Professional | None | $5.62 | $7.41 | $10.00 |
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 $1.55 Median $2.34 Typical High $2.51 | Professional | 55 · Aftercare only | $1.55 | $2.34 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.05 Median $1.58 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.05 | $1.58 | $1.70 |
Where Nebraska sits
The same service costs 2.2 times more in Kansas 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· 17th of 51
$12.30
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.