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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $112.20 | Professional | None | $81.28 | $95.50 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $169.82 Typical High $169.82 | Facility | None | $97.72 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $173.78 Typical High $323.59 | Professional | None | $165.96 | $173.78 | $323.59 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $165.96 Typical High $707.95 | Facility | None | $95.50 | $165.96 | $707.95 |
Medica Setting Professional Modifier None Typical Low $57.54 Median $75.86 Typical High $120.23 | Professional | None | $57.54 | $75.86 | $120.23 |
Midlands Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $323.59 | Professional | None | $165.96 | $165.96 | $323.59 |
Midlands Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Midlands Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $416.87 | Professional | None | $208.93 | $323.59 | $416.87 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $120.23 | Professional | None | $54.95 | $75.86 | $120.23 |
2 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 55 · Aftercare only Typical Low $12.30 Median $14.45 Typical High $16.98 | Professional | 55 · Aftercare only | $12.30 | $14.45 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $9.55 Typical High $11.22 | Professional | 56 · Pre-op care only | $8.13 | $9.55 | $11.22 |
Where Nebraska sits
The same service costs 4.2 times more in Kansas 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· 18th of 51
$115
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.