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 $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier None Typical Low $1.29 Median $4.79 Typical High $6.31 | Professional | None | $1.29 | $4.79 | $6.31 |
Ambetter Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | None | $3.63 | $3.63 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $5.37 Typical High $5.37 | Facility | None | $2.82 | $5.37 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.37 Typical High $10.00 | Professional | None | $5.25 | $5.37 | $10.00 |
Medica Setting Facility Modifier None Typical Low $3.80 Median $5.25 Typical High $79.43 | Facility | None | $3.80 | $5.25 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.58 Median $2.34 Typical High $3.98 | Professional | None | $1.58 | $2.34 | $3.98 |
Midlands Setting Professional Modifier None Typical Low $5.25 Median $5.37 Typical High $10.00 | Professional | None | $5.25 | $5.37 | $10.00 |
Midlands Setting Professional Modifier None Typical Low $6.61 Median $10.00 Typical High $12.88 | Professional | None | $6.61 | $10.00 | $12.88 |
United Setting Professional Modifier None Typical Low $1.70 Median $2.29 Typical High $3.09 | Professional | None | $1.70 | $2.29 | $3.09 |
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 $1.55 Median $2.34 Typical High $3.16 | Professional | 52 · Reduced service | $1.55 | $2.34 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.95 Typical High $1.26 | Professional | 53 · Discontinued | $0.62 | $0.95 | $1.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.47 Median $0.71 Typical High $0.93 | Professional | 55 · Aftercare only | $0.47 | $0.71 | $0.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.31 Median $0.47 Typical High $0.63 | Professional | 56 · Pre-op care only | $0.31 | $0.47 | $0.63 |
Where Nebraska sits
The same service costs 2.2 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· 20th of 51
$3.63
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.