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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $66.07 | Professional | None | $46.77 | $56.23 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $97.72 Typical High $97.72 | Facility | None | $69.18 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $102.33 Typical High $186.21 | Professional | None | $95.50 | $102.33 | $186.21 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $95.50 Typical High $407.38 | Facility | None | $56.23 | $95.50 | $407.38 |
Medica Setting Professional Modifier None Typical Low $33.11 Median $43.65 Typical High $69.18 | Professional | None | $33.11 | $43.65 | $69.18 |
Midlands Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $186.21 | Professional | None | $95.50 | $95.50 | $186.21 |
Midlands Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Midlands Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $239.88 | Professional | None | $120.23 | $186.21 | $239.88 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $31.62 Median $43.65 Typical High $60.26 | Professional | None | $31.62 | $43.65 | $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 $23.44 Median $28.18 Typical High $33.11 | Professional | 52 · Reduced service | $23.44 | $28.18 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $11.22 Typical High $13.18 | Professional | 53 · Discontinued | $9.33 | $11.22 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $8.32 Typical High $9.77 | Professional | 55 · Aftercare only | $7.08 | $8.32 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.62 Typical High $6.61 | Professional | 56 · Pre-op care only | $4.68 | $5.62 | $6.61 |
Where Nebraska sits
The same service costs 2.0 times more in Montana than in South Carolina. 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· 23rd 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.