How much rates vary
Facilitymedian $309 · 10th to 90th $129 to $3,388Professionalmedian $219 · 10th to 90th $117 to $490
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 $208.93 Median $3,801.89 Typical High $11,481.54 | Facility | None | $208.93 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $208.93 Typical High $1,071.52 | Professional | None | $125.89 | $208.93 | $1,071.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $363.08 Median $489.78 Typical High $977.24 | Facility | None | $363.08 | $489.78 | $977.24 |
BCBS Nebraska Setting Professional Modifier None Typical Low $107.15 Median $190.55 Typical High $245.47 | Professional | None | $107.15 | $190.55 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $234.42 Typical High $645.65 | Facility | None | $177.83 | $234.42 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $426.58 Typical High $524.81 | Professional | None | $288.40 | $426.58 | $524.81 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $251.19 Typical High $1,995.26 | Facility | None | $114.82 | $251.19 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $478.63 Typical High $1,659.59 | Professional | None | $281.84 | $478.63 | $1,659.59 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $478.63 Typical High $616.60 | Professional | None | $302.00 | $478.63 | $616.60 |
Midlands Setting Facility Modifier None Typical Low $177.83 Median $229.09 Typical High $645.65 | Facility | None | $177.83 | $229.09 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $426.58 Typical High $501.19 | Professional | None | $257.04 | $426.58 | $501.19 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $190.55 Median $316.23 Typical High $524.81 | Professional | None | $190.55 | $316.23 | $524.81 |
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 $63.10 Median $63.10 Typical High $104.71 | Professional | 52 · Reduced service | $63.10 | $63.10 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $42.66 | Professional | 53 · Discontinued | $25.12 | $25.12 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $95.50 Typical High $158.49 | Professional | 54 · Surgery only | $95.50 | $95.50 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $31.62 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $20.89 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $20.89 |
Where Nebraska sits
The same service costs 8.8 times more in New York than in Alabama. 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
NY $2,761AL $314
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.