How much rates vary
Facilitymedian $1,778 · 10th to 90th $490 to $6,166Professionalmedian $240 · 10th to 90th $112 to $2,951
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 $1,096.48 Median $4,466.84 Typical High $11,481.54 | Facility | None | $1,096.48 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $1,096.48 Typical High $2,884.03 | Professional | None | $109.65 | $1,096.48 | $2,884.03 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $6,165.95 | Facility | None | $2,290.87 | $3,019.95 | $6,165.95 |
BCBS Nebraska Setting Professional Modifier None Typical Low $97.72 Median $173.78 Typical High $239.88 | Professional | None | $97.72 | $173.78 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $1,380.38 | Facility | None | $1,122.02 | $1,288.25 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $2,290.87 Typical High $2,884.03 | Professional | None | $263.03 | $2,290.87 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $912.01 Typical High $3,235.94 | Facility | None | $398.11 | $912.01 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $3,019.95 Typical High $9,120.11 | Professional | None | $1,659.59 | $3,019.95 | $9,120.11 |
Midlands Setting Professional Modifier None Typical Low $281.84 Median $2,398.83 Typical High $3,019.95 | Professional | None | $281.84 | $2,398.83 | $3,019.95 |
Midlands Setting Facility Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $1,905.46 | Facility | None | $1,122.02 | $1,288.25 | $1,905.46 |
Midlands Setting Professional Modifier None Typical Low $234.42 Median $2,398.83 Typical High $3,090.30 | Professional | None | $234.42 | $2,398.83 | $3,090.30 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,818.38 | Facility | None | $467.74 | $851.14 | $2,818.38 |
United Setting Professional Modifier None Typical Low $173.78 Median $1,412.54 Typical High $2,884.03 | Professional | None | $173.78 | $1,412.54 | $2,884.03 |
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 $54.95 Median $173.78 Typical High $549.54 | Professional | 52 · Reduced service | $54.95 | $173.78 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $69.18 Typical High $218.78 | Professional | 53 · Discontinued | $21.88 | $69.18 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $263.03 Typical High $831.76 | Professional | 54 · Surgery only | $81.28 | $263.03 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $52.48 Typical High $165.96 | Professional | 55 · Aftercare only | $16.22 | $52.48 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $34.67 Typical High $109.65 | Professional | 56 · Pre-op care only | $10.96 | $34.67 | $109.65 |
Where Nebraska sits
The same service costs 5.5 times more in Hawaii than in Maryland. 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
HI $4,440MD $808
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.