How much rates vary
Facilitymedian $6,607 · 10th to 90th $2,089 to $11,482Professionalmedian $3,467 · 10th to 90th $1,905 to $14,791
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 $1,445.44 Median $1,445.44 Typical High $2,454.71 | Professional | None | $1,445.44 | $1,445.44 | $2,454.71 |
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 $9,332.54 Median $10,964.78 Typical High $11,481.54 | Facility | None | $9,332.54 | $10,964.78 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $3,467.37 Typical High $3,715.35 | Professional | None | $2,951.21 | $3,467.37 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,090.30 Typical High $8,128.31 | Facility | None | $1,513.56 | $3,090.30 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $1,905.46 Median $3,630.78 Typical High $14,791.08 | Professional | None | $1,905.46 | $3,630.78 | $14,791.08 |
Midlands Setting Professional Modifier None Typical Low $2,951.21 Median $3,548.13 Typical High $4,677.35 | Professional | None | $2,951.21 | $3,548.13 | $4,677.35 |
Midlands Setting Facility Modifier None Typical Low $9,332.54 Median $10,964.78 Typical High $16,218.10 | Facility | None | $9,332.54 | $10,964.78 | $16,218.10 |
Midlands Setting Professional Modifier None Typical Low $2,691.53 Median $3,715.35 Typical High $5,011.87 | Professional | None | $2,691.53 | $3,715.35 | $5,011.87 |
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 $1,905.46 Median $3,162.28 Typical High $4,365.16 | Professional | None | $1,905.46 | $3,162.28 | $4,365.16 |
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 $724.44 Median $724.44 Typical High $1,230.27 | Professional | 52 · Reduced service | $724.44 | $724.44 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $501.19 | Professional | 53 · Discontinued | $288.40 | $288.40 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $371.54 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $245.47 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,737.80 |
Where Nebraska sits
The same service costs 5.2 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 $17,572KY $3,400
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.