How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,230 to $12,023Professionalmedian $2,754 · 10th to 90th $1,549 to $9,333
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 $1,148.15 Median $1,148.15 Typical High $1,949.84 | Professional | None | $1,148.15 | $1,148.15 | $1,949.84 |
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 |
Cigna Setting Facility Modifier None Typical Low $7,413.10 Median $8,709.64 Typical High $9,332.54 | Facility | None | $7,413.10 | $8,709.64 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,754.23 Typical High $3,019.95 | Professional | None | $2,238.72 | $2,754.23 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $6,456.54 | Facility | None | $1,071.52 | $1,819.70 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,884.03 Typical High $9,332.54 | Professional | None | $1,548.82 | $2,884.03 | $9,332.54 |
Midlands Setting Professional Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $3,801.89 | Professional | None | $2,238.72 | $2,884.03 | $3,801.89 |
Midlands Setting Facility Modifier None Typical Low $7,413.10 Median $8,709.64 Typical High $12,882.50 | Facility | None | $7,413.10 | $8,709.64 | $12,882.50 |
Midlands Setting Professional Modifier None Typical Low $2,137.96 Median $2,818.38 Typical High $3,890.45 | Professional | None | $2,137.96 | $2,818.38 | $3,890.45 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $8,128.31 | Facility | None | $1,174.90 | $1,862.09 | $8,128.31 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $3,467.37 | Professional | None | $1,548.82 | $2,570.40 | $3,467.37 |
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 $575.44 Median $575.44 Typical High $977.24 | Professional | 52 · Reduced service | $575.44 | $575.44 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $389.05 | Professional | 53 · Discontinued | $229.09 | $229.09 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $1,479.11 | Professional | 54 · Surgery only | $870.96 | $870.96 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $295.12 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $194.98 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $1,380.38 |
Where Nebraska sits
The same service costs 6.1 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 $14,041TX $2,290
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.