How much rates vary
Facilitymedian $240 · 10th to 90th $24 to $1,230Professionalmedian $240 · 10th to 90th $100 to $263
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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $275.42 Typical High $630.96 | Professional | None | $131.83 | $275.42 | $630.96 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $204.17 Typical High $467.74 | Professional | UE · Used equipment | $95.50 | $204.17 | $467.74 |
BCBS Nebraska Setting Professional Modifier None Typical Low $234.42 Median $251.19 Typical High $263.03 | Professional | None | $234.42 | $251.19 | $263.03 |
BCBS Nebraska Setting Professional Modifier RR · Rental Typical Low $23.44 Median $25.12 Typical High $26.30 | Professional | RR · Rental | $23.44 | $25.12 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $239.88 Typical High $239.88 | Facility | None | $177.83 | $239.88 | $239.88 |
Cigna Setting Facility Modifier RR · Rental Typical Low $17.78 Median $38.90 Typical High $38.90 | Facility | RR · Rental | $17.78 | $38.90 | $38.90 |
Cigna Setting Facility Modifier UE · Used equipment Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | UE · Used equipment | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $380.19 | Professional | None | $177.83 | $229.09 | $380.19 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $245.47 Typical High $1,230.27 | Facility | None | $23.99 | $245.47 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $223.87 | Professional | None | $91.20 | $109.65 | $223.87 |
Medica Setting Professional Modifier RR · Rental Typical Low $12.02 Median $14.79 Typical High $31.62 | Professional | RR · Rental | $12.02 | $14.79 | $31.62 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $83.18 Typical High $169.82 | Professional | UE · Used equipment | $75.86 | $83.18 | $169.82 |
Midlands Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $338.84 | Professional | None | $181.97 | $257.04 | $338.84 |
Midlands Setting Facility Modifier None Typical Low $234.42 Median $239.88 Typical High $239.88 | Facility | None | $234.42 | $239.88 | $239.88 |
Midlands Setting Facility Modifier UE · Used equipment Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | UE · Used equipment | $177.83 | $177.83 | $177.83 |
United Setting Professional Modifier None Typical Low $63.10 Median $100.00 Typical High $223.87 | Professional | None | $63.10 | $100.00 | $223.87 |
United Setting Professional Modifier RR · Rental Typical Low $10.72 Median $14.79 Typical High $26.92 | Professional | RR · Rental | $10.72 | $14.79 | $26.92 |
United Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $75.86 Typical High $169.82 | Professional | UE · Used equipment | $46.77 | $75.86 | $169.82 |
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 $112.20 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $112.20 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $44.67 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $33.88 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $12.88 | $27.54 | $27.54 |
Where Nebraska sits
The same service costs 22.4 times more in Kansas than in Illinois. 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· 7th of 51
$240
KS $447IL $19.95
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.