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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $81.28 | Professional | None | $45.71 | $61.66 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $104.71 Typical High $104.71 | Facility | None | $54.95 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $199.53 | Professional | None | $102.33 | $102.33 | $199.53 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $102.33 Typical High $416.87 | Facility | None | $60.26 | $102.33 | $416.87 |
Medica Setting Professional Modifier None Typical Low $31.62 Median $46.77 Typical High $74.13 | Professional | None | $31.62 | $46.77 | $74.13 |
Midlands Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $199.53 | Professional | None | $102.33 | $102.33 | $199.53 |
Midlands Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Midlands Setting Professional Modifier None Typical Low $131.83 Median $199.53 Typical High $257.04 | Professional | None | $131.83 | $199.53 | $257.04 |
United Setting Facility Modifier None Typical Low $51.29 Median $87.10 Typical High $87.10 | Facility | None | $51.29 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $31.62 Median $44.67 Typical High $57.54 | Professional | None | $31.62 | $44.67 | $57.54 |
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 $22.91 Median $30.90 Typical High $40.74 | Professional | 52 · Reduced service | $22.91 | $30.90 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $12.30 Typical High $16.22 | Professional | 53 · Discontinued | $9.12 | $12.30 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $9.12 Typical High $12.02 | Professional | 55 · Aftercare only | $6.92 | $9.12 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $6.17 Typical High $8.13 | Professional | 56 · Pre-op care only | $4.57 | $6.17 | $8.13 |
Where Nebraska sits
The same service costs 3.5 times more in Hawaii than in West Virginia. 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
$61.66
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.