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 $63.10 Median $83.18 Typical High $112.20 | Professional | None | $63.10 | $83.18 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $144.54 Typical High $144.54 | Facility | None | $66.07 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $141.25 Typical High $275.42 | Professional | None | $134.90 | $141.25 | $275.42 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $141.25 Typical High $562.34 | Facility | None | $83.18 | $141.25 | $562.34 |
Medica Setting Professional Modifier None Typical Low $42.66 Median $64.57 Typical High $102.33 | Professional | None | $42.66 | $64.57 | $102.33 |
Midlands Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $275.42 | Professional | None | $141.25 | $141.25 | $275.42 |
Midlands Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Midlands Setting Professional Modifier None Typical Low $177.83 Median $275.42 Typical High $354.81 | Professional | None | $177.83 | $275.42 | $354.81 |
United Setting Facility Modifier None Typical Low $61.66 Median $120.23 Typical High $120.23 | Facility | None | $61.66 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $79.43 | Professional | None | $43.65 | $61.66 | $79.43 |
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 $31.62 Median $41.69 Typical High $56.23 | Professional | 52 · Reduced service | $31.62 | $41.69 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $16.98 Typical High $22.39 | Professional | 53 · Discontinued | $12.88 | $16.98 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $12.59 Typical High $16.60 | Professional | 55 · Aftercare only | $9.55 | $12.59 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $8.32 Typical High $11.22 | Professional | 56 · Pre-op care only | $6.31 | $8.32 | $11.22 |
Where Nebraska sits
The same service costs 3.5 times more in Hawaii than in Florida. 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· 17th 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.