How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,148 to $8,710Professionalmedian $1,445 · 10th to 90th $776 to $2,570
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 $602.56 Median $602.56 Typical High $1,380.38 | Professional | None | $602.56 | $602.56 | $1,380.38 |
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 $1,096.48 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,096.48 | $2,398.83 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,412.54 Typical High $1,548.82 | Professional | None | $1,174.90 | $1,412.54 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,137.96 Typical High $8,912.51 | Facility | None | $1,122.02 | $2,137.96 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,479.11 Typical High $4,786.30 | Professional | None | $776.25 | $1,479.11 | $4,786.30 |
Midlands Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,174.90 | $1,445.44 | $1,949.84 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $2,454.71 Typical High $3,162.28 | Facility | None | $1,096.48 | $2,454.71 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,096.48 | $1,479.11 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $6,309.57 | Facility | None | $1,288.25 | $2,238.72 | $6,309.57 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $776.25 | $1,288.25 | $1,778.28 |
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 $295.12 Median $295.12 Typical High $501.19 | Professional | 52 · Reduced service | $295.12 | $295.12 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $204.17 | Professional | 53 · Discontinued | $120.23 | $120.23 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $758.58 | Professional | 54 · Surgery only | $446.68 | $446.68 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $151.36 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $100.00 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $707.95 |
Where Nebraska sits
The same service costs 3.7 times more in Wisconsin 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
WI $7,647MT $2,070
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.