How much rates vary
Facilitymedian $107 · 10th to 90th $55 to $10,965Professionalmedian $112 · 10th to 90th $48 to $398
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 $47.86 Median $7,943.28 Typical High $21,877.62 | Facility | None | $47.86 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 26 · Professional part | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $28.84 | $28.84 | $28.84 |
BCBS Nebraska Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $204.17 | Facility | None | $75.86 | $100.00 | $204.17 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $18.20 | $33.88 | $44.67 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $41.69 Typical High $54.95 | Professional | TC · Technical part | $22.39 | $41.69 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $128.82 | Professional | None (both parts) | $104.71 | $112.20 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $51.29 | Professional | 26 · Professional part | $41.69 | $44.67 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $67.61 Typical High $77.62 | Professional | TC · Technical part | $63.10 | $67.61 | $77.62 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $95.50 Typical High $245.47 | Facility | None | $46.77 | $95.50 | $245.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $67.61 Median $131.83 Typical High $398.11 | Professional | None (both parts) | $67.61 | $131.83 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $53.70 Typical High $158.49 | Professional | 26 · Professional part | $30.20 | $53.70 | $158.49 |
Medica Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $77.62 Typical High $239.88 | Professional | TC · Technical part | $37.15 | $77.62 | $239.88 |
Midlands Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $141.25 | Professional | None | $112.20 | $112.20 | $141.25 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $43.65 | $44.67 | $56.23 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | TC · Technical part | $67.61 | $67.61 | $85.11 |
Midlands Setting Professional Modifier None (both parts) Typical Low $67.61 Median $117.49 Typical High $141.25 | Professional | None (both parts) | $67.61 | $117.49 | $141.25 |
United Setting Facility Modifier None Typical Low $46.77 Median $50.12 Typical High $63.10 | Facility | None | $46.77 | $50.12 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $120.23 Typical High $134.90 | Professional | None (both parts) | $63.10 | $120.23 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $48.98 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $67.61 Typical High $79.43 | Professional | TC · Technical part | $34.67 | $67.61 | $79.43 |
5 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 $23.99 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 54 · Surgery only | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 55 · Aftercare only | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $4.79 |
Where Nebraska sits
The same service costs 3.3 times more in Nebraska than in New York. 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· 1st of 51
$112
NE $112NY $33.88
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.