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 $2.45 Median $2.45 Typical High $2.45 | Facility | None | $2.45 | $2.45 | $2.45 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $3.24 | Professional | None | $2.45 | $2.45 | $3.24 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $2.88 Typical High $5.25 | Professional | None | $2.69 | $2.88 | $5.25 |
Medica Setting Facility Modifier None Typical Low $2.04 Median $3.89 Typical High $89.13 | Facility | None | $2.04 | $3.89 | $89.13 |
Medica Setting Professional Modifier None Typical Low $0.93 Median $1.23 Typical High $2.69 | Professional | None | $0.93 | $1.23 | $2.69 |
Midlands Setting Professional Modifier None Typical Low $2.69 Median $2.75 Typical High $5.25 | Professional | None | $2.69 | $2.75 | $5.25 |
Midlands Setting Professional Modifier None Typical Low $3.09 Median $5.25 Typical High $6.17 | Professional | None | $3.09 | $5.25 | $6.17 |
United Setting Professional Modifier None Typical Low $0.89 Median $1.15 Typical High $1.95 | Professional | None | $0.89 | $1.15 | $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 $1.23 Median $1.23 Typical High $1.23 | Professional | 52 · Reduced service | $1.23 | $1.23 | $1.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.49 Typical High $0.49 | Professional | 53 · Discontinued | $0.49 | $0.49 | $0.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.37 Median $0.37 Typical High $0.37 | Professional | 55 · Aftercare only | $0.37 | $0.37 | $0.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.25 Typical High $0.25 | Professional | 56 · Pre-op care only | $0.25 | $0.25 | $0.25 |
Where Nebraska sits
The same service costs 4.6 times more in Rhode Island 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· 17th of 51
$1.95
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.