How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,413 to $29,512Professionalmedian $2,630 · 10th to 90th $1,445 to $8,710
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 $1,071.52 Median $1,584.89 Typical High $2,818.38 | Professional | None | $1,071.52 | $1,584.89 | $2,818.38 |
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 $19,498.45 Median $20,417.38 Typical High $22,908.68 | Professional | None | $19,498.45 | $20,417.38 | $22,908.68 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $18,620.87 Typical High $31,622.78 | Facility | None | $2,630.27 | $18,620.87 | $31,622.78 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $2,754.23 | Professional | None | $2,089.30 | $2,570.40 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $26,915.35 | Facility | None | $1,148.15 | $2,137.96 | $26,915.35 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,691.53 Typical High $8,709.64 | Professional | None | $1,445.44 | $2,691.53 | $8,709.64 |
Midlands Setting Professional Modifier None Typical Low $2,089.30 Median $2,691.53 Typical High $3,630.78 | Professional | None | $2,089.30 | $2,691.53 | $3,630.78 |
Midlands Setting Facility Modifier None Typical Low $2,511.89 Median $21,877.62 Typical High $33,113.11 | Facility | None | $2,511.89 | $21,877.62 | $33,113.11 |
Midlands Setting Professional Modifier None Typical Low $1,949.84 Median $2,630.27 Typical High $3,630.78 | Professional | None | $1,949.84 | $2,630.27 | $3,630.78 |
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 $1,445.44 Median $2,398.83 Typical High $3,235.94 | Professional | None | $1,445.44 | $2,398.83 | $3,235.94 |
2 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 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $1,348.96 | Professional | 54 · Surgery only | $794.33 | $794.33 | $1,348.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $1,258.93 |
Where Nebraska sits
The same service costs 8.5 times more in Wyoming 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.
Physician feeFacility fee
WY $22,644KY $2,656
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.