How much rates vary
Facilitymedian $1,047 · 10th to 90th $575 to $4,677Professionalmedian $302 · 10th to 90th $145 to $776
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 $302.00 Median $1,548.82 Typical High $10,964.78 | Facility | None | $302.00 | $1,548.82 | $10,964.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $158.49 Typical High $323.59 | Facility | 53 · Discontinued | $57.54 | $158.49 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $302.00 Typical High $758.58 | Professional | None | $141.25 | $302.00 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $70.79 Typical High $354.81 | Professional | 53 · Discontinued | $28.18 | $70.79 | $354.81 |
Ambetter Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $323.59 | Professional | None | $269.15 | $323.59 | $323.59 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $7,413.10 | Facility | None | $2,691.53 | $3,630.78 | $7,413.10 |
BCBS Nebraska Setting Professional Modifier None Typical Low $125.89 Median $223.87 Typical High $309.03 | Professional | None | $125.89 | $223.87 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $741.31 Typical High $954.99 | Facility | None | $575.44 | $741.31 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $602.56 Typical High $758.58 | Professional | None | $309.03 | $602.56 | $758.58 |
Cigna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $338.84 Typical High $371.54 | Professional | 53 · Discontinued | $169.82 | $338.84 | $371.54 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,096.48 Typical High $3,019.95 | Facility | None | $562.34 | $1,096.48 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $794.33 Typical High $2,344.23 | Professional | None | $426.58 | $794.33 | $2,344.23 |
Midlands Setting Professional Modifier None Typical Low $363.08 Median $676.08 Typical High $870.96 | Professional | None | $363.08 | $676.08 | $870.96 |
Midlands Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $338.84 Typical High $436.52 | Professional | 53 · Discontinued | $181.97 | $338.84 | $436.52 |
Midlands Setting Facility Modifier None Typical Low $616.60 Median $758.58 Typical High $954.99 | Facility | None | $616.60 | $758.58 | $954.99 |
Midlands Setting Professional Modifier None Typical Low $309.03 Median $630.96 Typical High $870.96 | Professional | None | $309.03 | $630.96 | $870.96 |
Midlands Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $316.23 Typical High $436.52 | Professional | 53 · Discontinued | $151.36 | $316.23 | $436.52 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,348.96 Typical High $3,162.28 | Facility | None | $707.95 | $1,348.96 | $3,162.28 |
United Setting Professional Modifier None Typical Low $223.87 Median $426.58 Typical High $758.58 | Professional | None | $223.87 | $426.58 | $758.58 |
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 $70.79 Median $70.79 Typical High $128.82 | Professional | 52 · Reduced service | $70.79 | $70.79 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $213.80 Typical High $218.78 | Professional | 54 · Surgery only | $104.71 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $42.66 Typical High $43.65 | Professional | 55 · Aftercare only | $21.38 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $28.84 Typical High $28.84 | Professional | 56 · Pre-op care only | $14.13 | $28.84 | $28.84 |
Where Nebraska sits
The same service costs 4.7 times more in Connecticut than in North Dakota. 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
CT $3,190ND $672
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.