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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $87.10 | Professional | None | $54.95 | $66.07 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $114.82 Typical High $114.82 | Facility | None | $57.54 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $218.78 | Professional | None | $112.20 | $120.23 | $218.78 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $112.20 Typical High $478.63 | Facility | None | $64.57 | $112.20 | $478.63 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $79.43 | Professional | None | $35.48 | $51.29 | $79.43 |
Midlands Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $218.78 | Professional | None | $112.20 | $112.20 | $218.78 |
Midlands Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Midlands Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $281.84 | Professional | None | $141.25 | $218.78 | $281.84 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $37.15 Median $51.29 Typical High $69.18 | Professional | None | $37.15 | $51.29 | $69.18 |
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 $27.54 Median $33.11 Typical High $43.65 | Professional | 52 · Reduced service | $27.54 | $33.11 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $13.18 Typical High $17.38 | Professional | 53 · Discontinued | $10.96 | $13.18 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $10.00 Typical High $13.18 | Professional | 55 · Aftercare only | $8.32 | $10.00 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.61 Typical High $8.71 | Professional | 56 · Pre-op care only | $5.50 | $6.61 | $8.71 |
Where Nebraska sits
The same service costs 2.6 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· 18th of 51
$66.07
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.