How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,318 to $11,482Professionalmedian $2,239 · 10th to 90th $1,230 to $5,754
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 $977.24 Median $977.24 Typical High $1,659.59 | Professional | None | $977.24 | $977.24 | $1,659.59 |
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 $5,011.87 Median $5,370.32 Typical High $5,754.40 | Professional | None | $5,011.87 | $5,370.32 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $4,365.16 Typical High $6,456.54 | Facility | None | $1,096.48 | $4,365.16 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,511.89 | Professional | None | $1,905.46 | $2,238.72 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $19,952.62 | Facility | None | $1,318.26 | $2,951.21 | $19,952.62 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $2,344.23 Typical High $7,943.28 | Professional | None | $1,230.27 | $2,344.23 | $7,943.28 |
Midlands Setting Professional Modifier None Typical Low $1,949.84 Median $2,238.72 Typical High $2,951.21 | Professional | None | $1,949.84 | $2,238.72 | $2,951.21 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $5,128.61 Typical High $6,760.83 | Facility | None | $1,096.48 | $5,128.61 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $3,311.31 | Professional | None | $1,778.28 | $2,454.71 | $3,311.31 |
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 $1,230.27 Median $2,041.74 Typical High $2,691.53 | Professional | None | $1,230.27 | $2,041.74 | $2,691.53 |
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 $489.78 Median $489.78 Typical High $831.76 | Professional | 52 · Reduced service | $489.78 | $489.78 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $331.13 | Professional | 53 · Discontinued | $194.98 | $194.98 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $1,230.27 | Professional | 54 · Surgery only | $724.44 | $724.44 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $245.47 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $165.96 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $1,148.15 |
Where Nebraska sits
The same service costs 5.1 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 $14,362HI $2,794
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.