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 $2.88 Median $2.88 Typical High $2.88 | Facility | None | $2.88 | $2.88 | $2.88 |
Aetna Setting Professional Modifier None Typical Low $0.87 Median $2.88 Typical High $3.80 | Professional | None | $0.87 | $2.88 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $3.24 Typical High $3.24 | Facility | None | $1.74 | $3.24 | $3.24 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $3.24 Typical High $6.17 | Professional | None | $3.16 | $3.24 | $6.17 |
Medica Setting Facility Modifier None Typical Low $2.34 Median $3.16 Typical High $79.43 | Facility | None | $2.34 | $3.16 | $79.43 |
Medica Setting Professional Modifier None Typical Low $0.95 Median $1.45 Typical High $2.40 | Professional | None | $0.95 | $1.45 | $2.40 |
Midlands Setting Professional Modifier None Typical Low $3.16 Median $3.24 Typical High $6.17 | Professional | None | $3.16 | $3.24 | $6.17 |
Midlands Setting Professional Modifier None Typical Low $3.98 Median $6.17 Typical High $7.94 | Professional | None | $3.98 | $6.17 | $7.94 |
United Setting Professional Modifier None Typical Low $1.02 Median $1.41 Typical High $1.91 | Professional | None | $1.02 | $1.41 | $1.91 |
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 $0.95 Median $1.45 Typical High $1.91 | Professional | 52 · Reduced service | $0.95 | $1.45 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.38 Median $0.58 Typical High $0.76 | Professional | 53 · Discontinued | $0.38 | $0.58 | $0.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.28 Median $0.43 Typical High $0.56 | Professional | 55 · Aftercare only | $0.28 | $0.43 | $0.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.19 Median $0.28 Typical High $0.38 | Professional | 56 · Pre-op care only | $0.19 | $0.28 | $0.38 |
Where Nebraska sits
The same service costs 2.2 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· 19th of 51
$2.24
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.