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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $109.65 | Professional | None | $67.61 | $83.18 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $141.25 | Facility | None | $70.79 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $147.91 Typical High $269.15 | Professional | None | $138.04 | $147.91 | $269.15 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $138.04 Typical High $588.84 | Facility | None | $81.28 | $138.04 | $588.84 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $63.10 Typical High $100.00 | Professional | None | $43.65 | $63.10 | $100.00 |
Midlands Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $269.15 | Professional | None | $138.04 | $138.04 | $269.15 |
Midlands Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Midlands Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $346.74 | Professional | None | $173.78 | $269.15 | $346.74 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $85.11 | Professional | None | $45.71 | $63.10 | $85.11 |
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 $33.88 Median $40.74 Typical High $54.95 | Professional | 52 · Reduced service | $33.88 | $40.74 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.60 Typical High $21.88 | Professional | 53 · Discontinued | $13.80 | $16.60 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $12.30 Typical High $16.22 | Professional | 55 · Aftercare only | $10.23 | $12.30 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $8.32 Typical High $10.96 | Professional | 56 · Pre-op care only | $6.76 | $8.32 | $10.96 |
Where Nebraska sits
The same service costs 2.6 times more in Hawaii 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· 20th of 51
$83.18
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.