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 $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $19.05 | Professional | None | $12.59 | $12.59 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $35.48 Typical High $51.29 | Professional | None | $26.30 | $35.48 | $51.29 |
Medica Setting Facility Modifier None Typical Low $13.49 Median $39.81 Typical High $114.82 | Facility | None | $13.49 | $39.81 | $114.82 |
Medica Setting Professional Modifier None Typical Low $9.77 Median $13.18 Typical High $154.88 | Professional | None | $9.77 | $13.18 | $154.88 |
Midlands Setting Professional Modifier None Typical Low $26.92 Median $35.48 Typical High $53.70 | Professional | None | $26.92 | $35.48 | $53.70 |
Midlands Setting Professional Modifier None Typical Low $35.48 Median $47.86 Typical High $54.95 | Professional | None | $35.48 | $47.86 | $54.95 |
United Setting Professional Modifier None Typical Low $7.94 Median $12.88 Typical High $20.89 | Professional | None | $7.94 | $12.88 | $20.89 |
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 $6.31 Median $6.31 Typical High $9.55 | Professional | 52 · Reduced service | $6.31 | $6.31 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $3.80 | Professional | 53 · Discontinued | $2.51 | $2.51 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $1.86 Typical High $2.88 | Professional | 55 · Aftercare only | $1.86 | $1.86 | $2.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.26 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.26 | $1.26 | $1.91 |
Where Nebraska sits
The same service costs 8.7 times more in Hawaii than in Kansas. 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· 44th of 51
$16.60
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.