How much rates vary
Facilitymedian $10,471 · 10th to 90th $2,188 to $23,442Professionalmedian $3,802 · 10th to 90th $2,138 to $12,882
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 $5,495.41 Median $9,549.93 Typical High $21,877.62 | Facility | None | $5,495.41 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,754.23 | Professional | None | $1,584.89 | $1,584.89 | $2,754.23 |
BCBS Nebraska Setting Facility Modifier None Typical Low $13,182.57 Median $17,782.79 Typical High $35,481.34 | Facility | None | $13,182.57 | $17,782.79 | $35,481.34 |
BCBS Nebraska Setting Professional Modifier None Typical Low $19,054.61 Median $19,952.62 Typical High $20,892.96 | Professional | None | $19,054.61 | $19,952.62 | $20,892.96 |
Cigna Setting Facility Modifier None Typical Low $14,791.08 Median $19,952.62 Typical High $23,442.29 | Facility | None | $14,791.08 | $19,952.62 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $3,801.89 Typical High $4,168.69 | Professional | None | $3,019.95 | $3,801.89 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $3,890.45 Typical High $26,915.35 | Facility | None | $1,737.80 | $3,890.45 | $26,915.35 |
Medica Setting Professional Modifier None Typical Low $2,137.96 Median $4,073.80 Typical High $12,882.50 | Professional | None | $2,137.96 | $4,073.80 | $12,882.50 |
Midlands Setting Professional Modifier None Typical Low $3,019.95 Median $4,073.80 Typical High $5,370.32 | Professional | None | $3,019.95 | $4,073.80 | $5,370.32 |
Midlands Setting Facility Modifier None Typical Low $13,803.84 Median $19,952.62 Typical High $28,840.32 | Facility | None | $13,803.84 | $19,952.62 | $28,840.32 |
Midlands Setting Professional Modifier None Typical Low $2,951.21 Median $3,801.89 Typical High $5,495.41 | Professional | None | $2,951.21 | $3,801.89 | $5,495.41 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $3,981.07 Typical High $13,803.84 | Facility | None | $1,819.70 | $3,981.07 | $13,803.84 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $3,548.13 Typical High $4,897.79 | Professional | None | $2,137.96 | $3,548.13 | $4,897.79 |
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 $794.33 Median $794.33 Typical High $1,348.96 | Professional | 52 · Reduced service | $794.33 | $794.33 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $549.54 | Professional | 53 · Discontinued | $316.23 | $316.23 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $407.38 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $275.42 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,905.46 |
Where Nebraska sits
The same service costs 7.8 times more in Alaska than in Kentucky. 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 $31,233KY $3,989
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.