How much rates vary
Facilitymedian $7,244 · 10th to 90th $1,514 to $17,378Professionalmedian $1,950 · 10th to 90th $1,047 to $6,457
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 $794.33 Median $794.33 Typical High $1,445.44 | Professional | None | $794.33 | $794.33 | $1,445.44 |
Ambetter Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
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 $13,489.63 Median $14,125.38 Typical High $14,791.08 | Professional | None | $13,489.63 | $14,125.38 | $14,791.08 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $12,022.64 Typical High $16,595.87 | Facility | None | $1,096.48 | $12,022.64 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $2,041.74 | Professional | None | $1,548.82 | $1,905.46 | $2,041.74 |
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 $1,047.13 Median $1,995.26 Typical High $6,456.54 | Professional | None | $1,047.13 | $1,995.26 | $6,456.54 |
Midlands Setting Professional Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $2,570.40 | Professional | None | $1,548.82 | $1,949.84 | $2,570.40 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $13,803.84 Typical High $17,378.01 | Facility | None | $1,096.48 | $13,803.84 | $17,378.01 |
Midlands Setting Professional Modifier None Typical Low $1,479.11 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,479.11 | $1,949.84 | $2,691.53 |
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 $1,047.13 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,047.13 | $1,737.80 | $2,398.83 |
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 $398.11 Median $398.11 Typical High $676.08 | Professional | 52 · Reduced service | $398.11 | $398.11 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $269.15 | Professional | 53 · Discontinued | $158.49 | $158.49 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $1,000.00 | Professional | 54 · Surgery only | $588.84 | $588.84 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $199.53 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $134.90 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $933.25 |
Where Nebraska sits
The same service costs 7.5 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 $19,036HI $2,542
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.