How much rates vary
Facilitymedian $4,898 · 10th to 90th $1,549 to $15,849Professionalmedian $1,549 · 10th to 90th $891 to $2,344
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 $1,548.82 Median $6,025.60 Typical High $11,481.54 | Facility | None | $1,548.82 | $6,025.60 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $1,122.02 Typical High $1,698.24 | Professional | None | $645.65 | $1,122.02 | $1,698.24 |
BCBS Nebraska Setting Facility Modifier None Typical Low $12,022.64 Median $15,848.93 Typical High $32,359.37 | Facility | None | $12,022.64 | $15,848.93 | $32,359.37 |
BCBS Nebraska Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $977.24 | Professional | None | $870.96 | $912.01 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,548.82 Typical High $1,698.24 | Professional | None | $1,258.93 | $1,548.82 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $8,128.31 | Facility | None | $1,445.44 | $3,715.35 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,659.59 Typical High $12,022.64 | Professional | None | $891.25 | $1,659.59 | $12,022.64 |
Midlands Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,230.27 | $1,659.59 | $2,187.76 |
Midlands Setting Professional Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $2,344.23 | Professional | None | $1,202.26 | $1,548.82 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,715.35 Typical High $7,413.10 | Facility | None | $1,698.24 | $3,715.35 | $7,413.10 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,445.44 Typical High $1,995.26 | Professional | None | $891.25 | $1,445.44 | $1,995.26 |
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 $323.59 Median $323.59 Typical High $562.34 | Professional | 52 · Reduced service | $323.59 | $323.59 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $223.87 | Professional | 53 · Discontinued | $128.82 | $128.82 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $851.14 | Professional | 54 · Surgery only | $489.78 | $489.78 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $169.82 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $112.20 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $112.20 |
Where Nebraska sits
The same service costs 7.9 times more in Alabama 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.
Physician feeFacility fee
AL $15,682KY $1,997
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.