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 $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $10.00 Typical High $10.00 | Professional | None | $9.12 | $10.00 | $10.00 |
BCBS Nebraska Setting Facility Modifier None Typical Low $34.67 Median $1,023.29 Typical High $2,137.96 | Facility | None | $34.67 | $1,023.29 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $26.92 | Professional | None | $13.49 | $18.62 | $26.92 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $20.89 Typical High $104.71 | Facility | None | $17.38 | $20.89 | $104.71 |
Medica Setting Professional Modifier None Typical Low $4.17 Median $7.41 Typical High $74.13 | Professional | None | $4.17 | $7.41 | $74.13 |
Midlands Setting Professional Modifier None Typical Low $14.13 Median $18.62 Typical High $28.84 | Professional | None | $14.13 | $18.62 | $28.84 |
Midlands Setting Professional Modifier None Typical Low $13.18 Median $26.92 Typical High $28.18 | Professional | None | $13.18 | $26.92 | $28.18 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.76 Typical High $9.55 | Professional | None | $3.98 | $6.76 | $9.55 |
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 $4.47 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $4.47 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.04 Typical High $2.04 | Professional | 53 · Discontinued | $1.82 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.35 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.35 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.89 Median $1.00 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.89 | $1.00 | $1.00 |
Where Nebraska sits
The same service costs 46.8 times more in New York than in Arkansas. 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· 9th of 51
$11.48
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.