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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $120.23 Typical High $120.23 | Facility | None | $64.57 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $295.12 | Professional | None | $123.03 | $123.03 | $295.12 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $89.13 Typical High $426.58 | Facility | None | $81.28 | $89.13 | $426.58 |
Medica Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $478.63 | Professional | None | $38.02 | $54.95 | $478.63 |
Midlands Setting Professional Modifier None Typical Low $120.23 Median $123.03 Typical High $295.12 | Professional | None | $120.23 | $123.03 | $295.12 |
Midlands Setting Professional Modifier None Typical Low $128.82 Median $239.88 Typical High $295.12 | Professional | None | $128.82 | $239.88 | $295.12 |
United Setting Professional Modifier None Typical Low $36.31 Median $48.98 Typical High $79.43 | Professional | None | $36.31 | $48.98 | $79.43 |
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 $48.98 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $9.77 |
Where Nebraska sits
The same service costs 2.5 times more in Hawaii than in Rhode Island. 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· 8th of 51
$97.72
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.