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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $97.72 | Professional | None | $37.15 | $37.15 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $85.11 Typical High $85.11 | Facility | None | $52.48 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $199.53 | Professional | None | $67.61 | $85.11 | $199.53 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $74.13 Typical High $257.04 | Facility | None | $42.66 | $74.13 | $257.04 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $46.77 Typical High $77.62 | Professional | None | $30.90 | $46.77 | $77.62 |
Midlands Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $199.53 | Professional | None | $85.11 | $85.11 | $199.53 |
Midlands Setting Professional Modifier None Typical Low $114.82 Median $190.55 Typical High $208.93 | Professional | None | $114.82 | $190.55 | $208.93 |
United Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $24.55 Median $46.77 Typical High $66.07 | Professional | None | $24.55 | $46.77 | $66.07 |
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 $18.62 Median $18.62 Typical High $25.12 | Professional | 52 · Reduced service | $18.62 | $18.62 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $10.00 | Professional | 53 · Discontinued | $7.59 | $7.59 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $5.62 Typical High $7.59 | Professional | 55 · Aftercare only | $5.62 | $5.62 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.80 Typical High $5.01 | Professional | 56 · Pre-op care only | $3.80 | $3.80 | $5.01 |
Where Nebraska sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 13th of 51
$56.23
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.