How much rates vary
Facilitymedian $2,239 · 10th to 90th $759 to $7,943Professionalmedian $501 · 10th to 90th $282 to $1,445
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 $1,659.59 Median $5,011.87 Typical High $11,481.54 | Facility | None | $1,659.59 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $1,318.26 | Professional | None | $208.93 | $208.93 | $1,318.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,370.32 Median $7,244.36 Typical High $14,454.40 | Facility | None | $5,370.32 | $7,244.36 | $14,454.40 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,230.27 | Professional | None | $1,023.29 | $1,096.48 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,174.90 | $1,513.56 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $537.03 | Professional | None | $398.11 | $489.78 | $537.03 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $1,122.02 Typical High $4,265.80 | Facility | None | $489.78 | $1,122.02 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $537.03 Typical High $1,819.70 | Professional | None | $281.84 | $537.03 | $1,819.70 |
Midlands Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $691.83 | Professional | None | $398.11 | $537.03 | $691.83 |
Midlands Setting Facility Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $2,238.72 | Facility | None | $1,318.26 | $1,513.56 | $2,238.72 |
Midlands Setting Professional Modifier None Typical Low $380.19 Median $501.19 Typical High $741.31 | Professional | None | $380.19 | $501.19 | $741.31 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $281.84 Median $467.74 Typical High $630.96 | Professional | None | $281.84 | $467.74 | $630.96 |
5 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 $102.33 Median $102.33 Typical High $181.97 | Professional | 52 · Reduced service | $102.33 | $102.33 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $72.44 | Professional | 53 · Discontinued | $41.69 | $41.69 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $154.88 Typical High $269.15 | Professional | 54 · Surgery only | $154.88 | $154.88 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $53.70 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $36.31 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $36.31 |
Where Nebraska sits
The same service costs 6.2 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 $4,689MT $752
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.