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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $85.11 Typical High $112.20 | Professional | None | $61.66 | $85.11 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $147.91 Typical High $147.91 | Facility | None | $66.07 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $275.42 | Professional | None | $117.49 | $144.54 | $275.42 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $141.25 Typical High $537.03 | Facility | None | $83.18 | $141.25 | $537.03 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $64.57 Typical High $102.33 | Professional | None | $43.65 | $64.57 | $102.33 |
Midlands Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $275.42 | Professional | None | $144.54 | $144.54 | $275.42 |
Midlands Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Midlands Setting Professional Modifier None Typical Low $181.97 Median $275.42 Typical High $354.81 | Professional | None | $181.97 | $275.42 | $354.81 |
United Setting Facility Modifier None Typical Low $46.77 Median $117.49 Typical High $117.49 | Facility | None | $46.77 | $117.49 | $117.49 |
United Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $75.86 | Professional | None | $43.65 | $61.66 | $75.86 |
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 $30.90 Median $42.66 Typical High $56.23 | Professional | 52 · Reduced service | $30.90 | $42.66 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $16.98 Typical High $22.39 | Professional | 53 · Discontinued | $12.30 | $16.98 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $12.59 Typical High $16.98 | Professional | 55 · Aftercare only | $9.12 | $12.59 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.51 Typical High $11.22 | Professional | 56 · Pre-op care only | $6.17 | $8.51 | $11.22 |
Where Nebraska sits
The same service costs 2.7 times more in Hawaii 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· 17th of 51
$85.11
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.