How much rates vary
Facilitymedian $372 · 10th to 90th $129 to $5,888Professionalmedian $759 · 10th to 90th $417 to $1,230
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 $467.74 Median $3,801.89 Typical High $11,481.54 | Facility | None | $467.74 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $1,230.27 | Professional | None | $426.58 | $602.56 | $1,230.27 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,388.44 Median $4,570.88 Typical High $9,120.11 | Facility | None | $3,388.44 | $4,570.88 | $9,120.11 |
BCBS Nebraska Setting Professional Modifier None Typical Low $371.54 Median $645.65 Typical High $870.96 | Professional | None | $371.54 | $645.65 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $223.87 Typical High $645.65 | Facility | None | $162.18 | $223.87 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,230.27 | Professional | None | $870.96 | $1,023.29 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $302.00 Typical High $2,398.83 | Facility | None | $114.82 | $302.00 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $1,202.26 Typical High $3,801.89 | Professional | None | $588.84 | $1,202.26 | $3,801.89 |
Midlands Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,348.96 | Professional | None | $1,023.29 | $1,096.48 | $1,348.96 |
Midlands Setting Facility Modifier None Typical Low $173.78 Median $223.87 Typical High $645.65 | Facility | None | $173.78 | $223.87 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $1,348.96 Typical High $1,548.82 | Professional | None | $794.33 | $1,348.96 | $1,548.82 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $588.84 Median $977.24 Typical High $1,230.27 | Professional | None | $588.84 | $977.24 | $1,230.27 |
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 $213.80 Median $234.42 Typical High $363.08 | Professional | 52 · Reduced service | $213.80 | $234.42 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $93.33 Typical High $144.54 | Professional | 53 · Discontinued | $85.11 | $93.33 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $346.74 Typical High $549.54 | Professional | 54 · Surgery only | $323.59 | $346.74 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $70.79 Typical High $109.65 | Professional | 55 · Aftercare only | $64.57 | $70.79 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $46.77 Typical High $72.44 | Professional | 56 · Pre-op care only | $42.66 | $46.77 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $323.59 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $302.00 | $323.59 | $512.86 |
Where Nebraska sits
The same service costs 4.7 times more in New York than in Florida. 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
NY $3,038FL $649
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.