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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $100.00 | Professional | None | $64.57 | $74.13 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $128.82 Typical High $128.82 | Facility | None | $70.79 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $245.47 | Professional | None | $125.89 | $134.90 | $245.47 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $125.89 Typical High $537.03 | Facility | None | $74.13 | $125.89 | $537.03 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $91.20 | Professional | None | $40.74 | $57.54 | $91.20 |
Midlands Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $245.47 | Professional | None | $125.89 | $125.89 | $245.47 |
Midlands Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $316.23 | Professional | None | $158.49 | $245.47 | $316.23 |
United Setting Facility Modifier None Typical Low $57.54 Median $120.23 Typical High $120.23 | Facility | None | $57.54 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $41.69 Median $57.54 Typical High $81.28 | Professional | None | $41.69 | $57.54 | $81.28 |
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 $32.36 Median $37.15 Typical High $50.12 | Professional | 52 · Reduced service | $32.36 | $37.15 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $12.88 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $11.22 Typical High $14.79 | Professional | 55 · Aftercare only | $9.77 | $11.22 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $7.41 Typical High $10.00 | Professional | 56 · Pre-op care only | $6.46 | $7.41 | $10.00 |
Where Nebraska sits
The same service costs 2.4 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· 22nd of 51
$74.13
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.