How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $2.63 Median $2.63 Typical High $2.63 | Facility | None | $2.63 | $2.63 | $2.63 |
Aetna Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $3.02 Typical High $5.62 | Professional | None | $2.88 | $3.02 | $5.62 |
Medica Setting Facility Modifier None Typical Low $2.19 Median $4.07 Typical High $79.43 | Facility | None | $2.19 | $4.07 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.00 Median $1.32 Typical High $2.88 | Professional | None | $1.00 | $1.32 | $2.88 |
Midlands Setting Professional Modifier None Typical Low $2.88 Median $2.95 Typical High $5.62 | Professional | None | $2.88 | $2.95 | $5.62 |
Midlands Setting Professional Modifier None Typical Low $3.24 Median $5.62 Typical High $6.46 | Professional | None | $3.24 | $5.62 | $6.46 |
United Setting Professional Modifier None Typical Low $0.95 Median $1.23 Typical High $1.95 | Professional | None | $0.95 | $1.23 | $1.95 |
4 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 52 · Reduced service Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | 52 · Reduced service | $1.32 | $1.32 | $1.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 53 · Discontinued | $0.52 | $0.52 | $0.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.39 Median $0.39 Typical High $0.39 | Professional | 55 · Aftercare only | $0.39 | $0.39 | $0.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | 56 · Pre-op care only | $0.26 | $0.26 | $0.26 |
Where Nebraska sits
The same service costs 2.6 times more in Hawaii than in Colorado. 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· 18th of 51
$2.04
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.