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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $67.61 | Professional | None | $51.29 | $57.54 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $102.33 Typical High $102.33 | Facility | None | $50.12 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $190.55 | Professional | None | $100.00 | $104.71 | $190.55 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $100.00 Typical High $426.58 | Facility | None | $57.54 | $100.00 | $426.58 |
Medica Setting Professional Modifier None Typical Low $34.67 Median $44.67 Typical High $70.79 | Professional | None | $34.67 | $44.67 | $70.79 |
Midlands Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $190.55 | Professional | None | $100.00 | $100.00 | $190.55 |
Midlands Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Midlands Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $245.47 | Professional | None | $125.89 | $190.55 | $245.47 |
United Setting Facility Modifier None Typical Low $44.67 Median $93.33 Typical High $93.33 | Facility | None | $44.67 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $32.36 Median $44.67 Typical High $61.66 | Professional | None | $32.36 | $44.67 | $61.66 |
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 $24.55 Median $28.84 Typical High $33.88 | Professional | 52 · Reduced service | $24.55 | $28.84 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $11.48 Typical High $13.49 | Professional | 53 · Discontinued | $9.77 | $11.48 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $8.71 Typical High $10.23 | Professional | 55 · Aftercare only | $7.24 | $8.71 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.75 Typical High $6.76 | Professional | 56 · Pre-op care only | $4.90 | $5.75 | $6.76 |
Where Nebraska sits
The same service costs 2.8 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· 20th of 51
$61.66
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.