How much rates vary
Facilitymedian $794 · 10th to 90th $468 to $3,802Professionalmedian $245 · 10th to 90th $126 to $661
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 $263.03 Median $1,548.82 Typical High $10,964.78 | Facility | None | $263.03 | $1,548.82 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $288.40 Typical High $660.69 | Professional | None | $123.03 | $288.40 | $660.69 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $549.54 | Professional | None | $173.78 | $190.55 | $549.54 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $4,168.69 | Facility | None | $1,548.82 | $2,041.74 | $4,168.69 |
BCBS Nebraska Setting Professional Modifier None Typical Low $107.15 Median $190.55 Typical High $263.03 | Professional | None | $107.15 | $190.55 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $891.25 | Facility | None | $588.84 | $707.95 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $478.63 Typical High $630.96 | Professional | None | $263.03 | $478.63 | $630.96 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $724.44 Typical High $2,691.53 | Facility | None | $426.58 | $724.44 | $2,691.53 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $645.65 Typical High $1,995.26 | Professional | None | $316.23 | $645.65 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $309.03 Median $562.34 Typical High $707.95 | Professional | None | $309.03 | $562.34 | $707.95 |
Midlands Setting Facility Modifier None Typical Low $602.56 Median $724.44 Typical High $891.25 | Facility | None | $602.56 | $724.44 | $891.25 |
Midlands Setting Professional Modifier None Typical Low $223.87 Median $457.09 Typical High $831.76 | Professional | None | $223.87 | $457.09 | $831.76 |
Oscar Health Setting Professional Modifier None Typical Low $125.89 Median $269.15 Typical High $588.84 | Professional | None | $125.89 | $269.15 | $588.84 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,754.23 | Facility | None | $467.74 | $851.14 | $2,754.23 |
United Setting Professional Modifier None Typical Low $177.83 Median $331.13 Typical High $630.96 | Professional | None | $177.83 | $331.13 | $630.96 |
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 $61.66 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $61.66 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $24.55 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $186.21 Typical High $186.21 | Professional | 54 · Surgery only | $93.33 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $18.62 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $25.12 Typical High $25.12 | Professional | 56 · Pre-op care only | $12.30 | $25.12 | $25.12 |
Where Nebraska sits
The same service costs 4.6 times more in New York 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
NY $2,775MT $606
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.