How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,230 to $8,511Professionalmedian $1,380 · 10th to 90th $724 to $2,455
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 $1,230.27 Median $7,079.46 Typical High $12,589.25 | Facility | None | $1,230.27 | $7,079.46 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $1,230.27 Typical High $1,479.11 | Professional | None | $562.34 | $1,230.27 | $1,479.11 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,168.69 Median $5,495.41 Typical High $11,220.18 | Facility | None | $4,168.69 | $5,495.41 | $11,220.18 |
BCBS Nebraska Setting Professional Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $2,570.40 | Professional | None | $2,290.87 | $2,454.71 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,995.26 Typical High $2,884.03 | Facility | None | $1,288.25 | $1,995.26 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,479.11 | Professional | None | $1,148.15 | $1,348.96 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $1,949.84 Typical High $8,912.51 | Facility | None | $1,071.52 | $1,949.84 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,380.38 Typical High $5,248.07 | Professional | None | $724.44 | $1,380.38 | $5,248.07 |
Midlands Setting Professional Modifier None Typical Low $1,122.02 Median $1,380.38 Typical High $1,819.70 | Professional | None | $1,122.02 | $1,380.38 | $1,819.70 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $2,344.23 Typical High $3,019.95 | Facility | None | $1,288.25 | $2,344.23 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $1,862.09 | Professional | None | $1,047.13 | $1,412.54 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,174.90 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,202.26 Typical High $1,659.59 | Professional | None | $724.44 | $1,202.26 | $1,659.59 |
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 $281.84 Median $281.84 Typical High $478.63 | Professional | 52 · Reduced service | $281.84 | $281.84 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $190.55 | Professional | 53 · Discontinued | $112.20 | $112.20 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $707.95 | Professional | 54 · Surgery only | $426.58 | $426.58 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $144.54 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $95.50 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $660.69 |
Where Nebraska sits
The same service costs 3.6 times more in Colorado than in Montana. 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 $7,037MT $1,954
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.