How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,318 to $13,183Professionalmedian $1,905 · 10th to 90th $1,072 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 $5,011.87 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,011.87 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,348.96 Typical High $2,089.30 | Professional | None | $794.33 | $1,348.96 | $2,089.30 |
BCBS Nebraska Setting Facility Modifier None Typical Low $9,332.54 Median $12,302.69 Typical High $25,118.86 | Facility | None | $9,332.54 | $12,302.69 | $25,118.86 |
BCBS Nebraska Setting Professional Modifier None Typical Low $4,168.69 Median $4,466.84 Typical High $4,677.35 | Professional | None | $4,168.69 | $4,466.84 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $4,073.80 Typical High $5,248.07 | Facility | None | $954.99 | $4,073.80 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,905.46 Typical High $2,089.30 | Professional | None | $1,513.56 | $1,905.46 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $16,218.10 | Facility | None | $1,318.26 | $2,951.21 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,995.26 Typical High $6,456.54 | Professional | None | $1,071.52 | $1,995.26 | $6,456.54 |
Midlands Setting Professional Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $2,630.27 | Professional | None | $1,513.56 | $1,995.26 | $2,630.27 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $4,168.69 Typical High $5,623.41 | Facility | None | $954.99 | $4,168.69 | $5,623.41 |
Midlands Setting Professional Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $2,691.53 | Professional | None | $1,479.11 | $1,905.46 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $7,585.78 | Facility | None | $1,380.38 | $3,019.95 | $7,585.78 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,071.52 | $1,737.80 | $2,398.83 |
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 $398.11 Median $398.11 Typical High $676.08 | Professional | 52 · Reduced service | $398.11 | $398.11 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $269.15 | Professional | 53 · Discontinued | $158.49 | $158.49 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $1,000.00 | Professional | 54 · Surgery only | $602.56 | $602.56 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $199.53 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $134.90 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $933.25 |
Where Nebraska sits
The same service costs 3.9 times more in Alaska 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
AK $10,228KY $2,649
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.