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 $87.10 | Professional | None | $18.20 | $66.07 | $87.10 |
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 $138.04 | Professional | None | $72.44 | $74.13 | $138.04 |
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 $54.95 | Professional | None | $21.88 | $33.11 | $54.95 |
Midlands Setting Professional Modifier None Typical Low $72.44 Median $74.13 Typical High $138.04 | Professional | None | $72.44 | $74.13 | $138.04 |
Midlands Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $181.97 | Professional | None | $91.20 | $138.04 | $181.97 |
United Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $42.66 | Professional | None | $23.44 | $32.36 | $42.66 |
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 $21.38 Median $33.11 Typical High $43.65 | Professional | 52 · Reduced service | $21.38 | $33.11 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $13.18 Typical High $17.38 | Professional | 53 · Discontinued | $8.71 | $13.18 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $9.77 Typical High $12.88 | Professional | 55 · Aftercare only | $6.46 | $9.77 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $6.61 Typical High $8.71 | Professional | 56 · Pre-op care only | $4.37 | $6.61 | $8.71 |
Where Nebraska sits
The same service costs 2.3 times more in Kansas than in New Jersey. 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· 19th 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.