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 $3.80 Median $15.85 Typical High $25.70 | Facility | None | $3.80 | $15.85 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | None | $3.31 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | 52 · Reduced service | $1.66 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.66 Median $0.66 Typical High $0.66 | Professional | 53 · Discontinued | $0.66 | $0.66 | $0.66 |
Cigna Setting Facility Modifier None Typical Low $3.24 Median $3.47 Typical High $6.46 | Facility | None | $3.24 | $3.47 | $6.46 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $6.61 | Professional | None | $2.95 | $2.95 | $6.61 |
Medica Setting Facility Modifier None Typical Low $3.31 Median $4.68 Typical High $89.13 | Facility | None | $3.31 | $4.68 | $89.13 |
Medica Setting Professional Modifier None Typical Low $2.09 Median $2.57 Typical High $2.95 | Professional | None | $2.09 | $2.57 | $2.95 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.57 Typical High $2.95 | Professional | None | $2.09 | $2.57 | $2.95 |
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 $0.50 Median $0.50 Typical High $0.50 | Professional | 55 · Aftercare only | $0.50 | $0.50 | $0.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | 56 · Pre-op care only | $0.33 | $0.33 | $0.33 |
Where Arizona sits
The same service costs 3.6 times more in Mississippi 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.
Arizona· 47th of 51
$2.95
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.