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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $81.28 Typical High $95.50 | Professional | None | $67.61 | $81.28 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $141.25 Typical High $141.25 | Facility | None | $100.00 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $147.91 Typical High $269.15 | Professional | None | $138.04 | $147.91 | $269.15 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $138.04 Typical High $549.54 | Facility | None | $81.28 | $138.04 | $549.54 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $97.72 | Professional | None | $47.86 | $63.10 | $97.72 |
Midlands Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $269.15 | Professional | None | $138.04 | $138.04 | $269.15 |
Midlands Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Midlands Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $346.74 | Professional | None | $173.78 | $269.15 | $346.74 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $87.10 | Professional | None | $45.71 | $63.10 | $87.10 |
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 $33.88 Median $40.74 Typical High $47.86 | Professional | 52 · Reduced service | $33.88 | $40.74 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.22 Typical High $19.05 | Professional | 53 · Discontinued | $13.49 | $16.22 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $12.02 Typical High $14.13 | Professional | 55 · Aftercare only | $10.23 | $12.02 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $8.13 Typical High $9.55 | Professional | 56 · Pre-op care only | $6.76 | $8.13 | $9.55 |
Where Nebraska sits
The same service costs 2.4 times more in Indiana than in Kentucky. 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· 26th of 51
$87.10
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.