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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $85.11 | Professional | None | $56.23 | $64.57 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $112.20 Typical High $112.20 | Facility | None | $81.28 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $208.93 | Professional | None | $109.65 | $123.03 | $208.93 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $109.65 Typical High $489.78 | Facility | None | $63.10 | $109.65 | $489.78 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $48.98 Typical High $77.62 | Professional | None | $36.31 | $48.98 | $77.62 |
Midlands Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $208.93 | Professional | None | $109.65 | $109.65 | $208.93 |
Midlands Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Midlands Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $275.42 | Professional | None | $138.04 | $208.93 | $275.42 |
United Setting Facility Modifier None Typical Low $63.10 Median $109.65 Typical High $109.65 | Facility | None | $63.10 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $36.31 Median $48.98 Typical High $70.79 | Professional | None | $36.31 | $48.98 | $70.79 |
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 $28.18 Median $32.36 Typical High $42.66 | Professional | 52 · Reduced service | $28.18 | $32.36 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.88 Typical High $16.98 | Professional | 53 · Discontinued | $11.22 | $12.88 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $9.77 Typical High $12.88 | Professional | 55 · Aftercare only | $8.51 | $9.77 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $6.46 Typical High $8.51 | Professional | 56 · Pre-op care only | $5.62 | $6.46 | $8.51 |
Where Nebraska sits
The same service costs 4.4 times more in Hawaii than in Florida. 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· 22nd of 51
$64.57
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.