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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $30.90 | Professional | None | $19.95 | $19.95 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $83.18 | Professional | None | $41.69 | $56.23 | $83.18 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $63.10 Typical High $186.21 | Facility | None | $21.38 | $63.10 | $186.21 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $20.42 Typical High $245.47 | Professional | None | $15.49 | $20.42 | $245.47 |
Midlands Setting Professional Modifier None Typical Low $43.65 Median $56.23 Typical High $87.10 | Professional | None | $43.65 | $56.23 | $87.10 |
Midlands Setting Professional Modifier None Typical Low $57.54 Median $77.62 Typical High $87.10 | Professional | None | $57.54 | $77.62 | $87.10 |
United Setting Professional Modifier None Typical Low $12.59 Median $20.42 Typical High $33.88 | Professional | None | $12.59 | $20.42 | $33.88 |
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 $10.00 Median $10.00 Typical High $15.49 | Professional | 52 · Reduced service | $10.00 | $10.00 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $6.17 | Professional | 53 · Discontinued | $3.98 | $3.98 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.02 Typical High $4.57 | Professional | 55 · Aftercare only | $3.02 | $3.02 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.00 Typical High $3.09 | Professional | 56 · Pre-op care only | $2.00 | $2.00 | $3.09 |
Where Nebraska sits
The same service costs 6.5 times more in Kansas than in Hawaii. 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· 33rd of 51
$26.30
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.