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 $12.30 Median $12.88 Typical High $16.98 | Professional | None | $12.30 | $12.88 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $21.88 Typical High $21.88 | Facility | None | $13.49 | $21.88 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $41.69 | Professional | None | $21.38 | $23.99 | $41.69 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $21.88 Typical High $102.33 | Facility | None | $12.59 | $21.88 | $102.33 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $9.77 Typical High $15.49 | Professional | None | $7.41 | $9.77 | $15.49 |
Midlands Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $41.69 | Professional | None | $21.38 | $21.38 | $41.69 |
Midlands Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Midlands Setting Professional Modifier None Typical Low $27.54 Median $41.69 Typical High $53.70 | Professional | None | $27.54 | $41.69 | $53.70 |
United Setting Facility Modifier None Typical Low $7.94 Median $22.91 Typical High $22.91 | Facility | None | $7.94 | $22.91 | $22.91 |
United Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $14.79 | Professional | None | $7.08 | $9.77 | $14.79 |
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 $6.03 Median $6.46 Typical High $8.51 | Professional | 52 · Reduced service | $6.03 | $6.46 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.57 Typical High $3.39 | Professional | 53 · Discontinued | $2.45 | $2.57 | $3.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $1.91 Typical High $2.51 | Professional | 55 · Aftercare only | $1.82 | $1.91 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.29 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.23 | $1.29 | $1.70 |
Where Nebraska sits
The same service costs 2.5 times more in Arkansas than in Kansas. 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· 31st of 51
$12.88
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.