How much rates vary
Facilitymedian $5,623 · 10th to 90th $2,089 to $10,965Professionalmedian $1,698 · 10th to 90th $977 to $5,754
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 $691.83 Median $691.83 Typical High $1,412.54 | Professional | None | $691.83 | $691.83 | $1,412.54 |
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 $3,981.07 Median $5,128.61 Typical High $6,456.54 | Facility | None | $3,981.07 | $5,128.61 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,659.59 Typical High $1,819.70 | Professional | None | $1,380.38 | $1,659.59 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,467.37 Typical High $12,022.64 | Facility | None | $1,513.56 | $3,467.37 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,819.70 Typical High $5,754.40 | Professional | None | $977.24 | $1,819.70 | $5,754.40 |
Midlands Setting Professional Modifier None Typical Low $1,380.38 Median $1,819.70 Typical High $2,398.83 | Professional | None | $1,380.38 | $1,819.70 | $2,398.83 |
Midlands Setting Facility Modifier None Typical Low $3,981.07 Median $5,248.07 Typical High $6,760.83 | Facility | None | $3,981.07 | $5,248.07 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,288.25 | $1,737.80 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $8,912.51 | Facility | None | $1,698.24 | $3,801.89 | $8,912.51 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,621.81 Typical High $2,187.76 | Professional | None | $977.24 | $1,621.81 | $2,187.76 |
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 $346.74 Median $346.74 Typical High $588.84 | Professional | 52 · Reduced service | $346.74 | $346.74 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $234.42 | Professional | 53 · Discontinued | $138.04 | $138.04 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $891.25 | Professional | 54 · Surgery only | $524.81 | $524.81 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $177.83 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $117.49 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $831.76 |
Where Nebraska sits
The same service costs 6.0 times more in Colorado 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
CO $14,279KY $2,379
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.