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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $23.44 | Professional | None | $16.98 | $19.95 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $35.48 Typical High $35.48 | Facility | None | $25.12 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $37.15 Typical High $67.61 | Professional | None | $34.67 | $37.15 | $67.61 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $34.67 Typical High $134.90 | Facility | None | $19.95 | $34.67 | $134.90 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $15.85 Typical High $24.55 | Professional | None | $12.02 | $15.85 | $24.55 |
Midlands Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $67.61 | Professional | None | $34.67 | $34.67 | $67.61 |
Midlands Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Midlands Setting Professional Modifier None Typical Low $43.65 Median $67.61 Typical High $87.10 | Professional | None | $43.65 | $67.61 | $87.10 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $11.48 Median $15.85 Typical High $21.88 | Professional | None | $11.48 | $15.85 | $21.88 |
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 $8.51 Median $10.00 Typical High $11.75 | Professional | 52 · Reduced service | $8.51 | $10.00 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.07 Typical High $4.68 | Professional | 53 · Discontinued | $3.39 | $4.07 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $3.02 Typical High $3.55 | Professional | 55 · Aftercare only | $2.51 | $3.02 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $2.04 Typical High $2.34 | Professional | 56 · Pre-op care only | $1.70 | $2.04 | $2.34 |
Where Nebraska sits
The same service costs 2.1 times more in Minnesota than in Washington, DC. 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· 27th of 51
$21.88
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.