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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $45.71 | Professional | None | $24.55 | $29.51 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $51.29 Typical High $51.29 | Facility | None | $26.92 | $51.29 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $97.72 | Professional | None | $50.12 | $53.70 | $97.72 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $50.12 Typical High $213.80 | Facility | None | $28.84 | $50.12 | $213.80 |
Medica Setting Professional Modifier None Typical Low $15.85 Median $22.91 Typical High $35.48 | Professional | None | $15.85 | $22.91 | $35.48 |
Midlands Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $97.72 | Professional | None | $50.12 | $50.12 | $97.72 |
Midlands Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Midlands Setting Professional Modifier None Typical Low $63.10 Median $97.72 Typical High $125.89 | Professional | None | $63.10 | $97.72 | $125.89 |
United Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
United Setting Professional Modifier None Typical Low $16.60 Median $22.91 Typical High $30.90 | Professional | None | $16.60 | $22.91 | $30.90 |
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 $12.30 Median $14.79 Typical High $19.50 | Professional | 52 · Reduced service | $12.30 | $14.79 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.89 Typical High $7.94 | Professional | 53 · Discontinued | $4.90 | $5.89 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $4.47 Typical High $5.89 | Professional | 55 · Aftercare only | $3.72 | $4.47 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.95 Typical High $3.89 | Professional | 56 · Pre-op care only | $2.45 | $2.95 | $3.89 |
Where Nebraska sits
The same service costs 2.5 times more in Montana 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· 21st of 51
$29.51
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.