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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $66.07 Typical High $66.07 | Professional | None | $18.20 | $66.07 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $74.13 Typical High $74.13 | Facility | None | $39.81 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $74.13 Typical High $141.25 | Professional | None | $72.44 | $74.13 | $141.25 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $72.44 Typical High $309.03 | Facility | None | $53.70 | $72.44 | $309.03 |
Medica Setting Professional Modifier None Typical Low $21.88 Median $33.11 Typical High $60.26 | Professional | None | $21.88 | $33.11 | $60.26 |
Midlands Setting Professional Modifier None Typical Low $72.44 Median $74.13 Typical High $141.25 | Professional | None | $72.44 | $74.13 | $141.25 |
Midlands Setting Professional Modifier None Typical Low $91.20 Median $141.25 Typical High $181.97 | Professional | None | $91.20 | $141.25 | $181.97 |
United Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $43.65 | Professional | None | $23.44 | $32.36 | $43.65 |
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 $21.88 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $21.88 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $8.71 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $6.61 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $4.37 | $6.61 | $6.61 |
Where Nebraska sits
The same service costs 2.3 times more in Kansas than in Alabama. 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· 22nd of 51
$51.29
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.