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 $39.81 Median $52.48 Typical High $69.18 | Professional | None | $39.81 | $52.48 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $91.20 Typical High $91.20 | Facility | None | $56.23 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $95.50 Typical High $173.78 | Professional | None | $89.13 | $95.50 | $173.78 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $89.13 Typical High $363.08 | Facility | None | $51.29 | $89.13 | $363.08 |
Medica Setting Professional Modifier None Typical Low $26.92 Median $40.74 Typical High $63.10 | Professional | None | $26.92 | $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 $43.65 Median $75.86 Typical High $75.86 | Facility | None | $43.65 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $27.54 Median $38.02 Typical High $50.12 | Professional | None | $27.54 | $38.02 | $50.12 |
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 $19.95 Median $26.30 Typical High $34.67 | Professional | 52 · Reduced service | $19.95 | $26.30 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $10.47 Typical High $13.80 | Professional | 53 · Discontinued | $7.94 | $10.47 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $7.94 Typical High $10.47 | Professional | 55 · Aftercare only | $6.03 | $7.94 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $5.25 Typical High $6.92 | Professional | 56 · Pre-op care only | $3.98 | $5.25 | $6.92 |
Where Nebraska sits
The same service costs 3.1 times more in Hawaii than in Kentucky. 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
$52.48
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.