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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $64.57 | Professional | None | $40.74 | $48.98 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $83.18 Typical High $83.18 | Facility | None | $41.69 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $87.10 Typical High $158.49 | Professional | None | $81.28 | $87.10 | $158.49 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $81.28 Typical High $346.74 | Facility | None | $47.86 | $81.28 | $346.74 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $37.15 Typical High $58.88 | Professional | None | $25.70 | $37.15 | $58.88 |
Midlands Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $158.49 | Professional | None | $81.28 | $81.28 | $158.49 |
Midlands Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Midlands Setting Professional Modifier None Typical Low $104.71 Median $158.49 Typical High $204.17 | Professional | None | $104.71 | $158.49 | $204.17 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $50.12 | Professional | None | $26.92 | $37.15 | $50.12 |
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 $19.95 Median $24.55 Typical High $32.36 | Professional | 52 · Reduced service | $19.95 | $24.55 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.77 Typical High $12.88 | Professional | 53 · Discontinued | $8.13 | $9.77 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $7.24 Typical High $9.55 | Professional | 55 · Aftercare only | $6.03 | $7.24 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.90 Typical High $6.46 | Professional | 56 · Pre-op care only | $4.07 | $4.90 | $6.46 |
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· 19th of 51
$48.98
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.