How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,380 to $12,023Professionalmedian $1,514 · 10th to 90th $813 to $5,012
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 $1,348.96 Median $6,165.95 Typical High $12,589.25 | Facility | None | $1,348.96 | $6,165.95 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $1,348.96 Typical High $1,621.81 | Professional | None | $616.60 | $1,348.96 | $1,621.81 |
Ambetter Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $1,445.44 | Professional | None | $194.98 | $194.98 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,317.64 Median $10,964.78 Typical High $22,387.21 | Facility | None | $8,317.64 | $10,964.78 | $22,387.21 |
BCBS Nebraska Setting Professional Modifier None Typical Low $6,456.54 Median $6,918.31 Typical High $7,413.10 | Professional | None | $6,456.54 | $6,918.31 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $5,495.41 Typical High $8,128.31 | Facility | None | $1,096.48 | $5,495.41 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,479.11 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $25,118.86 | Facility | None | $1,445.44 | $3,715.35 | $25,118.86 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,513.56 Typical High $5,011.87 | Professional | None | $812.83 | $1,513.56 | $5,011.87 |
Midlands Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,230.27 | $1,513.56 | $1,995.26 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $5,623.41 Typical High $8,709.64 | Facility | None | $1,096.48 | $5,623.41 | $8,709.64 |
Midlands Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,089.30 | Professional | None | $1,148.15 | $1,548.82 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $8,912.51 | Facility | None | $1,698.24 | $3,801.89 | $8,912.51 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,348.96 Typical High $1,819.70 | Professional | None | $812.83 | $1,348.96 | $1,819.70 |
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 $309.03 Median $309.03 Typical High $524.81 | Professional | 52 · Reduced service | $309.03 | $309.03 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $208.93 | Professional | 53 · Discontinued | $123.03 | $123.03 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $794.33 | Professional | 54 · Surgery only | $467.74 | $467.74 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $158.49 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $104.71 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $741.31 |
Where Nebraska sits
The same service costs 6.4 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 $13,816MT $2,168
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.