How much rates vary
Facilitymedian $380 · 10th to 90th $178 to $1,585Professionalmedian $204 · 10th to 90th $117 to $631
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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $40.74 | $40.74 | $40.74 |
BCBS Nebraska Setting Facility Modifier None Typical Low $173.78 Median $245.47 Typical High $501.19 | Facility | None | $173.78 | $245.47 | $501.19 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $51.29 | $95.50 | $123.03 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $60.26 Typical High $77.62 | Professional | TC · Technical part | $32.36 | $60.26 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $245.47 | Professional | None (both parts) | $162.18 | $190.55 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $158.49 | Professional | 26 · Professional part | $100.00 | $117.49 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $67.61 Typical High $83.18 | Professional | TC · Technical part | $63.10 | $67.61 | $83.18 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $467.74 Typical High $4,365.16 | Facility | None | $181.97 | $467.74 | $4,365.16 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $257.04 Typical High $630.96 | Professional | None (both parts) | $154.88 | $257.04 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $158.49 Typical High $407.38 | Professional | 26 · Professional part | $95.50 | $158.49 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $218.78 | Professional | TC · Technical part | $60.26 | $100.00 | $218.78 |
Midlands Setting Professional Modifier None Typical Low $190.55 Median $239.88 Typical High $295.12 | Professional | None | $190.55 | $239.88 | $295.12 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $158.49 Typical High $194.98 | Professional | 26 · Professional part | $117.49 | $158.49 | $194.98 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $81.28 Typical High $102.33 | Professional | TC · Technical part | $74.13 | $81.28 | $102.33 |
Midlands Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $295.12 | Professional | None (both parts) | $199.53 | $229.09 | $295.12 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,096.48 Typical High $4,466.84 | Facility | None | $398.11 | $1,096.48 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $234.42 Typical High $263.03 | Professional | None (both parts) | $154.88 | $234.42 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $144.54 Typical High $162.18 | Professional | 26 · Professional part | $95.50 | $144.54 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $91.20 Typical High $102.33 | Professional | TC · Technical part | $60.26 | $91.20 | $102.33 |
2 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 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $11.75 |
Where Nebraska sits
The same service costs 4.4 times more in Minnesota 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.
Nebraska· 5th of 51
$204
MN $275AL $63.10
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.