How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,288 to $10,715Professionalmedian $1,288 · 10th to 90th $676 to $2,570
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 $512.86 Median $512.86 Typical High $1,071.52 | Professional | None | $512.86 | $512.86 | $1,071.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $7,413.10 Median $10,000.00 Typical High $20,417.38 | Facility | None | $7,413.10 | $10,000.00 | $20,417.38 |
BCBS Nebraska Setting Professional Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $2,570.40 | Professional | None | $2,290.87 | $2,454.71 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,288.25 | $2,398.83 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,348.96 | Professional | None | $1,047.13 | $1,230.27 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,137.96 Typical High $8,912.51 | Facility | None | $1,122.02 | $2,137.96 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,288.25 Typical High $4,168.69 | Professional | None | $676.08 | $1,288.25 | $4,168.69 |
Midlands Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $1,698.24 | Professional | None | $1,047.13 | $1,288.25 | $1,698.24 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $2,454.71 Typical High $3,162.28 | Facility | None | $1,288.25 | $2,454.71 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $954.99 Median $1,318.26 Typical High $1,778.28 | Professional | None | $954.99 | $1,318.26 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $6,309.57 | Facility | None | $1,288.25 | $2,238.72 | $6,309.57 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,122.02 Typical High $1,548.82 | Professional | None | $676.08 | $1,122.02 | $1,548.82 |
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 $257.04 Median $257.04 Typical High $436.52 | Professional | 52 · Reduced service | $257.04 | $257.04 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $173.78 | Professional | 53 · Discontinued | $102.33 | $102.33 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $660.69 | Professional | 54 · Surgery only | $389.05 | $389.05 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $131.83 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $87.10 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $616.60 |
Where Nebraska sits
The same service costs 4.1 times more in Wisconsin than in Montana. 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
WI $7,505MT $1,845
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.