How much rates vary
Facilitymedian $1,514 · 10th to 90th $501 to $8,128Professionalmedian $1,698 · 10th to 90th $1,000 to $2,512
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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $2,041.74 | Professional | None | $776.25 | $1,023.29 | $2,041.74 |
Ambetter Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,897.79 Median $6,606.93 Typical High $13,489.63 | Facility | None | $4,897.79 | $6,606.93 | $13,489.63 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,778.28 Typical High $2,398.83 | Professional | None | $1,584.89 | $1,778.28 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $954.99 Typical High $4,365.16 | Facility | None | $478.63 | $954.99 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,737.80 Typical High $6,456.54 | Professional | None | $1,000.00 | $1,737.80 | $6,456.54 |
Midlands Setting Professional Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $2,691.53 | Professional | None | $1,513.56 | $1,698.24 | $2,691.53 |
Midlands Setting Professional Modifier None Typical Low $1,513.56 Median $1,621.81 Typical High $1,862.09 | Professional | None | $1,513.56 | $1,621.81 | $1,862.09 |
United Setting Facility Modifier None Typical Low $489.78 Median $891.25 Typical High $3,801.89 | Facility | None | $489.78 | $891.25 | $3,801.89 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $2,511.89 | Professional | None | $1,000.00 | $1,584.89 | $2,511.89 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $186.21 Typical High $281.84 | Professional | 80 · Assistant surgeon | $165.96 | $186.21 | $281.84 |
Where Nebraska sits
The same service costs 10.3 times more in Maine than in Arkansas. 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
ME $15,629AR $1,524
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.