How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,148 to $11,482Professionalmedian $955 · 10th to 90th $501 to $4,677
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 $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $1,380.38 | Professional | None | $380.19 | $380.19 | $1,380.38 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,760.83 Median $8,912.51 Typical High $18,197.01 | Facility | None | $6,760.83 | $8,912.51 | $18,197.01 |
BCBS Nebraska Setting Professional Modifier None Typical Low $5,011.87 Median $5,370.32 Typical High $5,754.40 | Professional | None | $5,011.87 | $5,370.32 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $4,168.69 Typical High $6,456.54 | Facility | None | $1,096.48 | $4,168.69 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $1,000.00 | Professional | None | $776.25 | $912.01 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $2,137.96 Typical High $19,952.62 | Facility | None | $1,071.52 | $2,137.96 | $19,952.62 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $954.99 Typical High $4,677.35 | Professional | None | $501.19 | $954.99 | $4,677.35 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $1,258.93 | Professional | None | $794.33 | $954.99 | $1,258.93 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $5,128.61 Typical High $6,760.83 | Facility | None | $1,096.48 | $5,128.61 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,318.26 | Professional | None | $707.95 | $1,000.00 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $8,912.51 | Facility | None | $1,288.25 | $2,238.72 | $8,912.51 |
United Setting Professional Modifier None Typical Low $501.19 Median $831.76 Typical High $1,148.15 | Professional | None | $501.19 | $831.76 | $1,148.15 |
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 $190.55 Median $190.55 Typical High $331.13 | Professional | 52 · Reduced service | $190.55 | $190.55 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $131.83 | Professional | 53 · Discontinued | $75.86 | $75.86 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $489.78 | Professional | 54 · Surgery only | $288.40 | $288.40 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $97.72 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $66.07 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $457.09 |
Where Nebraska sits
The same service costs 8.5 times more in Colorado 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
CO $11,809MT $1,385
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.