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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $64.57 Typical High $64.57 | Professional | None | $48.98 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $79.43 Typical High $79.43 | Facility | None | $40.74 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $190.55 | Professional | None | $79.43 | $79.43 | $190.55 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $61.66 Typical High $281.84 | Facility | None | $53.70 | $61.66 | $281.84 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $316.23 | Professional | None | $25.12 | $38.90 | $316.23 |
Midlands Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $194.98 | Professional | None | $79.43 | $79.43 | $194.98 |
Midlands Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $194.98 | Professional | None | $81.28 | $112.20 | $194.98 |
United Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $66.07 | Professional | None | $23.99 | $33.11 | $66.07 |
2 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 55 · Aftercare only Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 55 · Aftercare only | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $6.46 | $6.46 | $6.46 |
Where Nebraska sits
The same service costs 2.6 times more in Wyoming than in Kentucky. 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· 6th of 51
$72.44
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.