How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,122 to $11,749Professionalmedian $2,042 · 10th to 90th $891 to $2,951
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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $954.99 | Professional | None (both parts) | $891.25 | $891.25 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $204.17 | Professional | 26 · Professional part | $186.21 | $186.21 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $691.83 Typical High $758.58 | Professional | TC · Technical part | $691.83 | $691.83 | $758.58 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,786.30 Median $7,413.10 Typical High $15,488.17 | Facility | None | $4,786.30 | $7,413.10 | $15,488.17 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $281.84 Typical High $371.54 | Professional | 26 · Professional part | $154.88 | $281.84 | $371.54 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,318.26 Typical High $1,819.70 | Professional | TC · Technical part | $812.83 | $1,318.26 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,041.74 Typical High $2,570.40 | Professional | None (both parts) | $1,949.84 | $2,041.74 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $426.58 Typical High $489.78 | Professional | 26 · Professional part | $398.11 | $426.58 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,621.81 Typical High $2,041.74 | Professional | TC · Technical part | $1,513.56 | $1,621.81 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $1,698.24 Typical High $4,466.84 | Facility | None | $316.23 | $1,698.24 | $4,466.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $2,398.83 Typical High $6,606.93 | Professional | None (both parts) | $1,621.81 | $2,398.83 | $6,606.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $501.19 Typical High $1,737.80 | Professional | 26 · Professional part | $331.13 | $501.19 | $1,737.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,949.84 Typical High $5,248.07 | Professional | TC · Technical part | $1,288.25 | $1,949.84 | $5,248.07 |
Midlands Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,691.53 | Professional | None | $2,041.74 | $2,041.74 | $2,691.53 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $562.34 | Professional | 26 · Professional part | $426.58 | $426.58 | $562.34 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,621.81 Typical High $2,137.96 | Professional | TC · Technical part | $1,621.81 | $1,621.81 | $2,137.96 |
Midlands Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,949.84 Typical High $2,691.53 | Professional | None (both parts) | $691.83 | $1,949.84 | $2,691.53 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $776.25 Typical High $794.33 | Professional | None (both parts) | $758.58 | $776.25 | $794.33 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $1,445.44 | Facility | None | $1,071.52 | $1,148.15 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $2,137.96 Typical High $2,951.21 | Professional | None (both parts) | $1,621.81 | $2,137.96 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $416.87 Typical High $616.60 | Professional | 26 · Professional part | $331.13 | $416.87 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,778.28 Typical High $2,290.87 | Professional | TC · Technical part | $1,288.25 | $1,778.28 | $2,290.87 |
4 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 $436.52 Median $436.52 Typical High $478.63 | Professional | 52 · Reduced service | $436.52 | $436.52 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $190.55 | Professional | 53 · Discontinued | $177.83 | $177.83 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $141.25 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $95.50 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $95.50 |
Where Nebraska sits
The same service costs 11.2 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· 6th of 51
$2,042
AK $3,020KY $269
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.