How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,380 to $11,482Professionalmedian $2,884 · 10th to 90th $1,549 to $7,244
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 $1,174.90 Median $1,778.28 Typical High $3,090.30 | Professional | None | $1,174.90 | $1,778.28 | $3,090.30 |
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 $6,456.54 Median $6,918.31 Typical High $7,244.36 | Professional | None | $6,456.54 | $6,918.31 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $4,570.88 Typical High $6,760.83 | Facility | None | $1,380.38 | $4,570.88 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $3,090.30 | Professional | None | $2,290.87 | $2,818.38 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $3,019.95 Typical High $25,703.96 | Facility | None | $1,318.26 | $3,019.95 | $25,703.96 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,951.21 Typical High $9,549.93 | Professional | None | $1,548.82 | $2,951.21 | $9,549.93 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $3,801.89 | Professional | None | $2,290.87 | $2,884.03 | $3,801.89 |
Midlands Setting Facility Modifier None Typical Low $1,380.38 Median $5,128.61 Typical High $7,585.78 | Facility | None | $1,380.38 | $5,128.61 | $7,585.78 |
Midlands Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $3,981.07 | Professional | None | $2,187.76 | $2,884.03 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $8,912.51 | Facility | None | $1,380.38 | $3,019.95 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $3,548.13 | Professional | None | $1,548.82 | $2,570.40 | $3,548.13 |
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 $588.84 Median $588.84 Typical High $1,000.00 | Professional | 52 · Reduced service | $588.84 | $588.84 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $398.11 | Professional | 53 · Discontinued | $234.42 | $234.42 | $398.11 |
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 $302.00 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $199.53 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $199.53 |
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 4.0 times more in Colorado than in Hawaii. 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 $14,661HI $3,664
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.