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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $95.50 | Professional | None | $64.57 | $72.44 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $123.03 Typical High $123.03 | Facility | None | $75.86 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $234.42 | Professional | None | $120.23 | $138.04 | $234.42 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $123.03 Typical High $562.34 | Facility | None | $70.79 | $123.03 | $562.34 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $91.20 | Professional | None | $41.69 | $54.95 | $91.20 |
Midlands Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $234.42 | Professional | None | $120.23 | $120.23 | $234.42 |
Midlands Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Midlands Setting Professional Modifier None Typical Low $154.88 Median $234.42 Typical High $302.00 | Professional | None | $154.88 | $234.42 | $302.00 |
United Setting Facility Modifier None Typical Low $69.18 Median $125.89 Typical High $125.89 | Facility | None | $69.18 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $39.81 Median $54.95 Typical High $81.28 | Professional | None | $39.81 | $54.95 | $81.28 |
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 $32.36 Median $36.31 Typical High $47.86 | Professional | 52 · Reduced service | $32.36 | $36.31 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $14.45 Typical High $19.05 | Professional | 53 · Discontinued | $12.88 | $14.45 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $10.72 Typical High $14.45 | Professional | 55 · Aftercare only | $9.77 | $10.72 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $7.24 Typical High $9.55 | Professional | 56 · Pre-op care only | $6.46 | $7.24 | $9.55 |
Where Nebraska sits
The same service costs 3.1 times more in Hawaii than in New Jersey. 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· 26th 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.