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 $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
BCBS Setting Facility Modifier None Typical Low $97.72 Median $128.82 Typical High $263.03 | Facility | None | $97.72 | $128.82 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $22.91 Typical High $35.48 | Professional | None | $16.98 | $22.91 | $35.48 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $75.86 Typical High $144.54 | Facility | None | $22.91 | $75.86 | $144.54 |
Medica Setting Professional Modifier None Typical Low $23.99 Median $43.65 Typical High $154.88 | Professional | None | $23.99 | $43.65 | $154.88 |
Midlands Setting Professional Modifier None Typical Low $17.38 Median $22.91 Typical High $35.48 | Professional | None | $17.38 | $22.91 | $35.48 |
Midlands Setting Professional Modifier None Typical Low $16.22 Median $34.67 Typical High $35.48 | Professional | None | $16.22 | $34.67 | $35.48 |
United Setting Professional Modifier None Typical Low $23.99 Median $34.67 Typical High $194.98 | Professional | None | $23.99 | $34.67 | $194.98 |
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 $6.46 Median $6.46 Typical High $6.46 | Professional | 52 · Reduced service | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | 53 · Discontinued | $2.57 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | 55 · Aftercare only | $1.91 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | 56 · Pre-op care only | $1.29 | $1.29 | $1.29 |
Where Nebraska sits
The same service costs 4.9 times more in Alaska than in Connecticut. 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· 3rd of 51
$26.92
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.