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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $89.13 | Professional | None | $57.54 | $67.61 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $117.49 Typical High $117.49 | Facility | None | $58.88 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $114.82 Typical High $218.78 | Professional | None | $109.65 | $114.82 | $218.78 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $114.82 Typical High $478.63 | Facility | None | $66.07 | $114.82 | $478.63 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $81.28 | Professional | None | $36.31 | $52.48 | $81.28 |
Midlands Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $218.78 | Professional | None | $114.82 | $114.82 | $218.78 |
Midlands Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Midlands Setting Professional Modifier None Typical Low $144.54 Median $218.78 Typical High $288.40 | Professional | None | $144.54 | $218.78 | $288.40 |
United Setting Facility Modifier None Typical Low $40.74 Median $109.65 Typical High $109.65 | Facility | None | $40.74 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $70.79 | Professional | None | $38.02 | $52.48 | $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 $28.84 Median $33.88 Typical High $44.67 | Professional | 52 · Reduced service | $28.84 | $33.88 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $13.49 Typical High $17.78 | Professional | 53 · Discontinued | $11.48 | $13.49 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $10.23 Typical High $13.49 | Professional | 55 · Aftercare only | $8.71 | $10.23 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.76 Typical High $8.91 | Professional | 56 · Pre-op care only | $5.75 | $6.76 | $8.91 |
Where Nebraska sits
The same service costs 2.5 times more in Arkansas than in Delaware. 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· 19th of 51
$67.61
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.