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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $107.15 | Professional | None | $69.18 | $69.18 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $194.98 Typical High $288.40 | Professional | None | $138.04 | $194.98 | $288.40 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $218.78 Typical High $645.65 | Facility | None | $74.13 | $218.78 | $645.65 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $851.14 | Professional | None | $53.70 | $70.79 | $851.14 |
Midlands Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $302.00 | Professional | None | $151.36 | $194.98 | $302.00 |
Midlands Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $302.00 | Professional | None | $199.53 | $269.15 | $302.00 |
United Setting Professional Modifier None Typical Low $43.65 Median $70.79 Typical High $117.49 | Professional | None | $43.65 | $70.79 | $117.49 |
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 $34.67 Median $34.67 Typical High $53.70 | Professional | 52 · Reduced service | $34.67 | $34.67 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $21.38 | Professional | 53 · Discontinued | $13.80 | $13.80 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.47 Typical High $15.85 | Professional | 55 · Aftercare only | $10.47 | $10.47 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $10.72 |
Where Nebraska sits
The same service costs 4.9 times more in North Dakota 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· 27th of 51
$91.20
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.