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 $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $42.66 Typical High $50.12 | Professional | None | $37.15 | $42.66 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $74.13 Typical High $74.13 | Facility | None | $44.67 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $141.25 | Professional | None | $72.44 | $81.28 | $141.25 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $72.44 Typical High $331.13 | Facility | None | $41.69 | $72.44 | $331.13 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $51.29 | Professional | None | $25.12 | $33.11 | $51.29 |
Midlands Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $141.25 | Professional | None | $72.44 | $72.44 | $141.25 |
Midlands Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Midlands Setting Professional Modifier None Typical Low $91.20 Median $141.25 Typical High $181.97 | Professional | None | $91.20 | $141.25 | $181.97 |
United Setting Facility Modifier None Typical Low $36.31 Median $70.79 Typical High $70.79 | Facility | None | $36.31 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $46.77 | Professional | None | $23.99 | $33.11 | $46.77 |
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 $18.62 Median $21.38 Typical High $24.55 | Professional | 52 · Reduced service | $18.62 | $21.38 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.51 Typical High $10.00 | Professional | 53 · Discontinued | $7.41 | $8.51 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $6.31 Typical High $7.41 | Professional | 55 · Aftercare only | $5.50 | $6.31 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $4.27 Typical High $5.01 | Professional | 56 · Pre-op care only | $3.72 | $4.27 | $5.01 |
Where Nebraska sits
The same service costs 2.5 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
$46.77
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.