How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $50.12 Median $54.95 Typical High $54.95 | Professional | None | $50.12 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $12.59 Typical High $12.59 | Professional | None | $10.72 | $12.59 | $12.59 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $53.70 | Facility | None | $28.18 | $28.18 | $53.70 |
Medica Setting Professional Modifier None Typical Low $8.91 Median $13.18 Typical High $21.88 | Professional | None | $8.91 | $13.18 | $21.88 |
United Setting Professional Modifier None Typical Low $8.91 Median $13.18 Typical High $21.88 | Professional | None | $8.91 | $13.18 | $21.88 |
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 $7.59 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $7.59 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.50 Typical High $5.50 | Professional | 56 · Pre-op care only | $5.01 | $5.50 | $5.50 |
Where Nebraska sits
The same service costs 3.5 times more in North Dakota than in Oklahoma. 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· 43rd of 51
$13.18
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.