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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $117.49 | Professional | None | $79.43 | $89.13 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $154.88 Typical High $154.88 | Facility | None | $104.71 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $288.40 | Professional | None | $151.36 | $169.82 | $288.40 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $151.36 Typical High $676.08 | Facility | None | $87.10 | $151.36 | $676.08 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $107.15 | Professional | None | $48.98 | $69.18 | $107.15 |
Midlands Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $288.40 | Professional | None | $151.36 | $151.36 | $288.40 |
Midlands Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Midlands Setting Professional Modifier None Typical Low $190.55 Median $288.40 Typical High $380.19 | Professional | None | $190.55 | $288.40 | $380.19 |
United Setting Facility Modifier None Typical Low $75.86 Median $147.91 Typical High $147.91 | Facility | None | $75.86 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $95.50 | Professional | None | $50.12 | $69.18 | $95.50 |
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 $39.81 Median $44.67 Typical High $58.88 | Professional | 52 · Reduced service | $39.81 | $44.67 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $17.78 Typical High $23.44 | Professional | 53 · Discontinued | $15.85 | $17.78 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $13.49 Typical High $17.78 | Professional | 55 · Aftercare only | $11.75 | $13.49 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.91 Typical High $11.75 | Professional | 56 · Pre-op care only | $7.94 | $8.91 | $11.75 |
Where Nebraska sits
The same service costs 3.0 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· 26th of 51
$89.13
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.