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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $52.48 Typical High $70.79 | Professional | None | $48.98 | $52.48 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $91.20 Typical High $91.20 | Facility | None | $61.66 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $102.33 Typical High $173.78 | Professional | None | $89.13 | $102.33 | $173.78 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $91.20 Typical High $436.52 | Facility | None | $52.48 | $91.20 | $436.52 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $63.10 | Professional | None | $30.90 | $40.74 | $63.10 |
Midlands Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $173.78 | Professional | None | $89.13 | $89.13 | $173.78 |
Midlands Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Midlands Setting Professional Modifier None Typical Low $112.20 Median $173.78 Typical High $223.87 | Professional | None | $112.20 | $173.78 | $223.87 |
United Setting Facility Modifier None Typical Low $41.69 Median $93.33 Typical High $93.33 | Facility | None | $41.69 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $29.51 Median $40.74 Typical High $61.66 | Professional | None | $29.51 | $40.74 | $61.66 |
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 $24.55 Median $26.30 Typical High $34.67 | Professional | 52 · Reduced service | $24.55 | $26.30 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.47 Typical High $14.13 | Professional | 53 · Discontinued | $9.77 | $10.47 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.94 Typical High $10.47 | Professional | 55 · Aftercare only | $7.41 | $7.94 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.25 Typical High $7.08 | Professional | 56 · Pre-op care only | $4.90 | $5.25 | $7.08 |
Where Nebraska sits
The same service costs 2.5 times more in Hawaii than in Arizona. 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
$53.70
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.