How much rates vary
Facilitymedian $1,950 · 10th to 90th $955 to $7,586Professionalmedian $347 · 10th to 90th $178 to $759
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 $309.03 Median $4,466.84 Typical High $11,481.54 | Facility | None | $309.03 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $309.03 Typical High $1,445.44 | Professional | None | $186.21 | $309.03 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,248.07 Median $7,079.46 Typical High $14,454.40 | Facility | None | $5,248.07 | $7,079.46 | $14,454.40 |
BCBS Nebraska Setting Professional Modifier None Typical Low $162.18 Median $288.40 Typical High $398.11 | Professional | None | $162.18 | $288.40 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,513.56 Typical High $2,187.76 | Facility | None | $954.99 | $1,513.56 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $645.65 Typical High $812.83 | Professional | None | $407.38 | $645.65 | $812.83 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,819.70 Typical High $5,495.41 | Facility | None | $630.96 | $1,819.70 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $691.83 Typical High $2,630.27 | Professional | None | $426.58 | $691.83 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $398.11 Median $660.69 Typical High $831.76 | Professional | None | $398.11 | $660.69 | $831.76 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,621.81 Typical High $2,398.83 | Facility | None | $954.99 | $1,621.81 | $2,398.83 |
Midlands Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $741.31 | Professional | None | $389.05 | $645.65 | $741.31 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,174.90 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $288.40 Median $478.63 Typical High $812.83 | Professional | None | $288.40 | $478.63 | $812.83 |
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 $93.33 Median $93.33 Typical High $154.88 | Professional | 52 · Reduced service | $93.33 | $93.33 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $61.66 | Professional | 53 · Discontinued | $37.15 | $37.15 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $141.25 Typical High $234.42 | Professional | 54 · Surgery only | $141.25 | $141.25 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $46.77 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $30.90 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $30.90 |
Where Nebraska sits
The same service costs 7.9 times more in Oklahoma than in Montana. 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
OK $5,867MT $745
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.