How much rates vary
Facilitymedian $2,042 · 10th to 90th $832 to $7,586Professionalmedian $1,230 · 10th to 90th $646 to $1,950
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 $1,659.59 Median $5,011.87 Typical High $11,481.54 | Facility | None | $1,659.59 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $1,047.13 | Professional | None | $501.19 | $501.19 | $1,047.13 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,677.35 Median $6,309.57 Typical High $12,589.25 | Facility | None | $4,677.35 | $6,309.57 | $12,589.25 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,737.80 Median $1,862.09 Typical High $1,949.84 | Professional | None | $1,737.80 | $1,862.09 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,621.81 Typical High $2,187.76 | Facility | None | $954.99 | $1,621.81 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,288.25 | Professional | None | $1,023.29 | $1,202.26 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $6,760.83 | Facility | None | $758.58 | $1,380.38 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,230.27 Typical High $3,981.07 | Professional | None | $645.65 | $1,230.27 | $3,981.07 |
Midlands Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,621.81 | Professional | None | $1,023.29 | $1,230.27 | $1,621.81 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,819.70 Typical High $2,290.87 | Facility | None | $954.99 | $1,819.70 | $2,290.87 |
Midlands Setting Professional Modifier None Typical Low $933.25 Median $1,258.93 Typical High $1,698.24 | Professional | None | $933.25 | $1,258.93 | $1,698.24 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,801.89 | Facility | None | $707.95 | $1,445.44 | $3,801.89 |
United Setting Professional Modifier None Typical Low $645.65 Median $1,071.52 Typical High $1,479.11 | Professional | None | $645.65 | $1,071.52 | $1,479.11 |
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 $251.19 Median $251.19 Typical High $426.58 | Professional | 52 · Reduced service | $251.19 | $251.19 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $169.82 | Professional | 53 · Discontinued | $100.00 | $100.00 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $630.96 | Professional | 54 · Surgery only | $371.54 | $371.54 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $125.89 | Professional | 55 · Aftercare only | $74.13 | $74.13 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $85.11 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $346.74 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $346.74 | $346.74 | $588.84 |
Where Nebraska sits
The same service costs 4.6 times more in Colorado than in Delaware. 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 $6,382DE $1,376
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.