How much rates vary
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 $34.67 Median $3,801.89 Typical High $11,481.54 | Facility | None | $34.67 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $56.23 Typical High $91.20 | Professional | None | $26.30 | $56.23 | $91.20 |
BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $4,365.16 | Facility | None | $1,621.81 | $2,187.76 | $4,365.16 |
BCBS Setting Professional Modifier None Typical Low $23.44 Median $41.69 Typical High $56.23 | Professional | None | $23.44 | $41.69 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $89.13 | Professional | None | $61.66 | $75.86 | $89.13 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $173.78 Typical High $1,202.26 | Facility | None | $54.95 | $173.78 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $87.10 Typical High $501.19 | Professional | None | $48.98 | $87.10 | $501.19 |
Midlands Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $95.50 | Professional | None | $64.57 | $85.11 | $95.50 |
Midlands Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Midlands Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $83.18 | Professional | None | $54.95 | $72.44 | $83.18 |
United Setting Facility Modifier None Typical Low $104.71 Median $234.42 Typical High $1,288.25 | Facility | None | $104.71 | $234.42 | $1,288.25 |
United Setting Professional Modifier None Typical Low $41.69 Median $67.61 Typical High $95.50 | Professional | None | $41.69 | $67.61 | $95.50 |
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 $13.18 Median $13.18 Typical High $17.38 | Professional | 52 · Reduced service | $13.18 | $13.18 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $6.92 | Professional | 53 · Discontinued | $5.25 | $5.25 | $6.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.95 Median $19.95 Typical High $26.30 | Professional | 54 · Surgery only | $19.95 | $19.95 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $3.98 Typical High $5.25 | Professional | 55 · Aftercare only | $3.98 | $3.98 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.63 Typical High $3.47 | Professional | 56 · Pre-op care only | $2.63 | $2.63 | $3.47 |
Where Nebraska sits
The same service costs 3.3 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.
Nebraska· 21st of 51
$51.29
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.