How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,230 to $9,120Professionalmedian $1,096 · 10th to 90th $589 to $1,950
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 $7,585.78 Typical High $19,952.62 | Facility | None | $776.25 | $7,585.78 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $2,041.74 | Professional | None | $630.96 | $776.25 | $2,041.74 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,309.57 Median $8,317.64 Typical High $16,982.44 | Facility | None | $6,309.57 | $8,317.64 | $16,982.44 |
BCBS Nebraska Setting Professional Modifier None Typical Low $537.03 Median $954.99 Typical High $1,318.26 | Professional | None | $537.03 | $954.99 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $2,818.38 | Facility | None | $1,288.25 | $2,089.30 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,479.11 | $1,659.59 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $7,943.28 | Facility | None | $1,071.52 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,862.09 Typical High $6,165.95 | Professional | None | $1,023.29 | $1,862.09 | $6,165.95 |
Midlands Setting Professional Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,513.56 | $1,862.09 | $2,187.76 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $2,187.76 Typical High $2,951.21 | Facility | None | $1,288.25 | $2,187.76 | $2,951.21 |
Midlands Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $1,819.70 | Professional | None | $1,288.25 | $1,584.89 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,623.41 | Facility | None | $1,174.90 | $1,862.09 | $5,623.41 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,479.11 Typical High $1,995.26 | Professional | None | $954.99 | $1,479.11 | $1,995.26 |
6 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 $316.23 Median $316.23 Typical High $389.05 | Professional | 52 · Reduced service | $316.23 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $154.88 | Professional | 53 · Discontinued | $125.89 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $575.44 | Professional | 54 · Surgery only | $467.74 | $467.74 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $117.49 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $537.03 |
Where Nebraska sits
The same service costs 3.7 times more in Connecticut 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
CT $7,673AR $2,094
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.