How much rates vary
Facilitymedian $5,754 · 10th to 90th $2,138 to $11,482Professionalmedian $5,129 · 10th to 90th $2,884 to $7,586
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 $4,677.35 Median $7,943.28 Typical High $21,877.62 | Facility | None | $4,677.35 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $3,715.35 | Professional | None | $1,584.89 | $2,137.96 | $3,715.35 |
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 |
Cigna Setting Facility Modifier None Typical Low $5,495.41 Median $6,456.54 Typical High $6,760.83 | Facility | None | $5,495.41 | $6,456.54 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $5,128.61 Typical High $5,623.41 | Professional | None | $4,265.80 | $5,128.61 | $5,623.41 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,467.37 Typical High $8,128.31 | Facility | None | $1,513.56 | $3,467.37 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $2,884.03 Median $5,370.32 Typical High $18,620.87 | Professional | None | $2,884.03 | $5,370.32 | $18,620.87 |
Midlands Setting Professional Modifier None Typical Low $4,265.80 Median $5,370.32 Typical High $7,079.46 | Professional | None | $4,265.80 | $5,370.32 | $7,079.46 |
Midlands Setting Facility Modifier None Typical Low $5,495.41 Median $6,456.54 Typical High $9,549.93 | Facility | None | $5,495.41 | $6,456.54 | $9,549.93 |
Midlands Setting Professional Modifier None Typical Low $3,981.07 Median $5,370.32 Typical High $7,585.78 | Professional | None | $3,981.07 | $5,370.32 | $7,585.78 |
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 $2,884.03 Median $4,786.30 Typical High $6,456.54 | Professional | None | $2,884.03 | $4,786.30 | $6,456.54 |
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 $1,071.52 Median $1,071.52 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $741.31 | Professional | 53 · Discontinued | $426.58 | $426.58 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,621.81 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,621.81 | $1,621.81 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $562.34 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $371.54 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,513.56 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $2,570.40 |
Where Nebraska sits
The same service costs 4.0 times more in Alaska than in Texas. 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 $19,772TX $4,915
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.