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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $33.88 Typical High $44.67 | Professional | None | $28.18 | $33.88 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $57.54 Typical High $57.54 | Facility | None | $36.31 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $109.65 | Professional | None | $56.23 | $60.26 | $109.65 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $56.23 Typical High $239.88 | Facility | None | $33.11 | $56.23 | $239.88 |
Medica Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $40.74 | Professional | None | $17.78 | $25.70 | $40.74 |
Midlands Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $109.65 | Professional | None | $56.23 | $56.23 | $109.65 |
Midlands Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Midlands Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $141.25 | Professional | None | $72.44 | $109.65 | $141.25 |
United Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
United Setting Professional Modifier None Typical Low $18.62 Median $25.70 Typical High $34.67 | Professional | None | $18.62 | $25.70 | $34.67 |
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 $14.13 Median $16.98 Typical High $22.39 | Professional | 52 · Reduced service | $14.13 | $16.98 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.76 Typical High $8.91 | Professional | 53 · Discontinued | $5.62 | $6.76 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $5.01 Typical High $6.76 | Professional | 55 · Aftercare only | $4.17 | $5.01 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $3.39 Typical High $4.47 | Professional | 56 · Pre-op care only | $2.82 | $3.39 | $4.47 |
Where Nebraska sits
The same service costs 2.1 times more in Montana than in Alabama. 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
$33.88
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.