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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $30.20 | Professional | None | $19.05 | $22.91 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $38.90 Typical High $38.90 | Facility | None | $24.55 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $74.13 | Professional | None | $38.02 | $40.74 | $74.13 |
Medica Setting Facility Modifier None Typical Low $22.39 Median $38.02 Typical High $165.96 | Facility | None | $22.39 | $38.02 | $165.96 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $27.54 | Professional | None | $12.02 | $17.38 | $27.54 |
Midlands Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $74.13 | Professional | None | $38.02 | $38.02 | $74.13 |
Midlands Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Midlands Setting Professional Modifier None Typical Low $48.98 Median $74.13 Typical High $95.50 | Professional | None | $48.98 | $74.13 | $95.50 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $23.44 | Professional | None | $12.59 | $17.38 | $23.44 |
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 $9.33 Median $11.48 Typical High $15.14 | Professional | 52 · Reduced service | $9.33 | $11.48 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.57 Typical High $6.03 | Professional | 53 · Discontinued | $3.80 | $4.57 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $3.39 Typical High $4.47 | Professional | 55 · Aftercare only | $2.82 | $3.39 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $2.29 Typical High $3.02 | Professional | 56 · Pre-op care only | $1.91 | $2.29 | $3.02 |
Where Nebraska sits
The same service costs 2.1 times more in Montana than in West Virginia. 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· 22nd of 51
$22.91
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.