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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $64.57 | Professional | None | $44.67 | $54.95 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $95.50 Typical High $95.50 | Facility | None | $48.98 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $93.33 Typical High $181.97 | Professional | None | $91.20 | $93.33 | $181.97 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $93.33 Typical High $407.38 | Facility | None | $54.95 | $93.33 | $407.38 |
Medica Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $69.18 | Professional | None | $33.11 | $42.66 | $69.18 |
Midlands Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $181.97 | Professional | None | $93.33 | $93.33 | $181.97 |
Midlands Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Midlands Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $234.42 | Professional | None | $120.23 | $181.97 | $234.42 |
United Setting Facility Modifier None Typical Low $19.95 Median $89.13 Typical High $89.13 | Facility | None | $19.95 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $60.26 | Professional | None | $30.90 | $42.66 | $60.26 |
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 $22.39 Median $27.54 Typical High $32.36 | Professional | 52 · Reduced service | $22.39 | $27.54 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.96 Typical High $12.88 | Professional | 53 · Discontinued | $8.91 | $10.96 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $8.32 Typical High $9.77 | Professional | 55 · Aftercare only | $6.61 | $8.32 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $5.50 Typical High $6.46 | Professional | 56 · Pre-op care only | $4.47 | $5.50 | $6.46 |
Where Nebraska sits
The same service costs 2.8 times more in Montana than in New Jersey. 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· 20th of 51
$60.26
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.