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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $57.54 | Professional | None | $40.74 | $48.98 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $85.11 Typical High $85.11 | Facility | None | $43.65 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $162.18 | Professional | None | $83.18 | $89.13 | $162.18 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $83.18 Typical High $354.81 | Facility | None | $47.86 | $83.18 | $354.81 |
Medica Setting Professional Modifier None Typical Low $28.84 Median $38.02 Typical High $58.88 | Professional | None | $28.84 | $38.02 | $58.88 |
Midlands Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $162.18 | Professional | None | $83.18 | $83.18 | $162.18 |
Midlands Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Midlands Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $208.93 | Professional | None | $104.71 | $162.18 | $208.93 |
United Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $27.54 Median $38.02 Typical High $52.48 | Professional | None | $27.54 | $38.02 | $52.48 |
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 $6.17 Median $7.24 Typical High $8.51 | Professional | 55 · Aftercare only | $6.17 | $7.24 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.79 Typical High $5.75 | Professional | 56 · Pre-op care only | $4.07 | $4.79 | $5.75 |
Where Nebraska sits
The same service costs 2.2 times more in Montana than in West Virginia. 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· 19th of 51
$52.48
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.