How much rates vary
Facilitymedian $1,380 · 10th to 90th $513 to $6,607Professionalmedian $891 · 10th to 90th $479 to $1,318
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 $512.86 Median $6,606.93 Typical High $12,589.25 | Facility | None | $512.86 | $6,606.93 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $1,023.29 Typical High $1,348.96 | Professional | None | $478.63 | $1,023.29 | $1,348.96 |
Ambetter Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $1,023.29 | Professional | None | $724.44 | $812.83 | $1,023.29 |
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 $416.87 Median $758.58 Typical High $1,047.13 | Professional | None | $416.87 | $758.58 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,258.93 Typical High $1,513.56 | Facility | None | $741.31 | $1,258.93 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,318.26 | Professional | None | $977.24 | $1,148.15 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $954.99 Typical High $4,677.35 | Facility | None | $489.78 | $954.99 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,288.25 Typical High $4,073.80 | Professional | None | $660.69 | $1,288.25 | $4,073.80 |
Midlands Setting Professional Modifier None Typical Low $1,148.15 Median $1,230.27 Typical High $1,548.82 | Professional | None | $1,148.15 | $1,230.27 | $1,548.82 |
Midlands Setting Facility Modifier None Typical Low $691.83 Median $1,258.93 Typical High $1,621.81 | Facility | None | $691.83 | $1,258.93 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $1,548.82 Typical High $1,698.24 | Professional | None | $891.25 | $1,548.82 | $1,698.24 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,754.23 | Facility | None | $467.74 | $851.14 | $2,754.23 |
United Setting Professional Modifier None Typical Low $660.69 Median $1,071.52 Typical High $1,318.26 | Professional | None | $660.69 | $1,071.52 | $1,318.26 |
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 $239.88 Median $251.19 Typical High $407.38 | Professional | 52 · Reduced service | $239.88 | $251.19 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $102.33 Typical High $162.18 | Professional | 53 · Discontinued | $95.50 | $102.33 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $380.19 Typical High $602.56 | Professional | 54 · Surgery only | $354.81 | $380.19 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $75.86 Typical High $120.23 | Professional | 55 · Aftercare only | $72.44 | $75.86 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $51.29 Typical High $81.28 | Professional | 56 · Pre-op care only | $47.86 | $51.29 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $354.81 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $331.13 | $354.81 | $562.34 |
Where Nebraska sits
The same service costs 4.0 times more in Colorado 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
CO $4,440FL $1,118
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.