How much rates vary
Facilitymedian $7,244 · 10th to 90th $1,514 to $16,982Professionalmedian $2,239 · 10th to 90th $1,230 to $7,586
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 $933.25 Median $933.25 Typical High $1,584.89 | Professional | None | $933.25 | $933.25 | $1,584.89 |
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 $12,022.64 Median $13,803.84 Typical High $15,135.61 | Professional | None | $12,022.64 | $13,803.84 | $15,135.61 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $9,772.37 Typical High $15,848.93 | Facility | None | $1,096.48 | $9,772.37 | $15,848.93 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $2,398.83 | Professional | None | $1,819.70 | $2,187.76 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $26,302.68 | Facility | None | $1,513.56 | $3,715.35 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $2,290.87 Typical High $7,585.78 | Professional | None | $1,230.27 | $2,290.87 | $7,585.78 |
Midlands Setting Professional Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $3,019.95 | Professional | None | $1,819.70 | $2,290.87 | $3,019.95 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $12,022.64 Typical High $16,982.44 | Facility | None | $1,096.48 | $12,022.64 | $16,982.44 |
Midlands Setting Professional Modifier None Typical Low $1,698.24 Median $2,290.87 Typical High $3,162.28 | Professional | None | $1,698.24 | $2,290.87 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $9,772.37 | Facility | None | $1,698.24 | $3,801.89 | $9,772.37 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $2,041.74 Typical High $2,754.23 | Professional | None | $1,230.27 | $2,041.74 | $2,754.23 |
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 $467.74 Median $467.74 Typical High $794.33 | Professional | 52 · Reduced service | $467.74 | $467.74 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $316.23 | Professional | 53 · Discontinued | $186.21 | $186.21 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $1,174.90 | Professional | 54 · Surgery only | $691.83 | $691.83 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $234.42 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $158.49 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $1,096.48 |
Where Nebraska sits
The same service costs 7.2 times more in Alaska 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
AK $19,657HI $2,734
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.