How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,585 to $15,849Professionalmedian $1,660 · 10th to 90th $977 to $2,455
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 $4,365.16 Typical High $11,481.54 | Facility | None | $1,548.82 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,288.25 | Professional | None | $707.95 | $707.95 | $1,288.25 |
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 $954.99 Median $1,000.00 Typical High $1,071.52 | Professional | None | $954.99 | $1,000.00 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $1,862.09 | Professional | None | $1,380.38 | $1,698.24 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $3,467.37 Typical High $8,128.31 | Facility | None | $1,445.44 | $3,467.37 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,862.09 Typical High $13,182.57 | Professional | None | $977.24 | $1,862.09 | $13,182.57 |
Midlands Setting Professional Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $2,398.83 | Professional | None | $1,318.26 | $1,819.70 | $2,398.83 |
Midlands Setting Professional Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $2,454.71 | Professional | None | $1,318.26 | $1,659.59 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,630.78 Typical High $7,244.36 | Facility | None | $1,698.24 | $3,630.78 | $7,244.36 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,621.81 Typical High $2,187.76 | Professional | None | $977.24 | $1,621.81 | $2,187.76 |
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 $354.81 Median $354.81 Typical High $602.56 | Professional | 52 · Reduced service | $354.81 | $354.81 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $245.47 | Professional | 53 · Discontinued | $141.25 | $141.25 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $912.01 | Professional | 54 · Surgery only | $537.03 | $537.03 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $181.97 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $123.03 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $123.03 |
Where Nebraska sits
The same service costs 4.6 times more in Alaska 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
AK $9,843KY $2,122
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.