How much rates vary
Facilitymedian $1,259 · 10th to 90th $129 to $4,786Professionalmedian $776 · 10th to 90th $417 to $1,380
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 $1,548.82 Median $4,365.16 Typical High $11,481.54 | Facility | None | $1,548.82 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $954.99 | Professional | None | $338.84 | $338.84 | $954.99 |
Ambetter Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $6,309.57 | Facility | None | $2,344.23 | $3,162.28 | $6,309.57 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $1,380.38 | Professional | None | $1,202.26 | $1,288.25 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $1,318.26 Typical High $1,513.56 | Facility | None | $223.87 | $1,318.26 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $891.25 | Professional | None | $645.65 | $776.25 | $891.25 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $257.04 Typical High $4,365.16 | Facility | None | $102.33 | $257.04 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $776.25 Typical High $2,691.53 | Professional | None | $416.87 | $776.25 | $2,691.53 |
Midlands Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $1,023.29 | Professional | None | $724.44 | $776.25 | $1,023.29 |
Midlands Setting Facility Modifier None Typical Low $204.17 Median $1,318.26 Typical High $1,621.81 | Facility | None | $204.17 | $1,318.26 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $630.96 Median $912.01 Typical High $1,096.48 | Professional | None | $630.96 | $912.01 | $1,096.48 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,995.26 | Facility | None | $104.71 | $251.19 | $1,995.26 |
United Setting Professional Modifier None Typical Low $416.87 Median $707.95 Typical High $912.01 | Professional | None | $416.87 | $707.95 | $912.01 |
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 $169.82 Median $169.82 Typical High $281.84 | Professional | 52 · Reduced service | $169.82 | $169.82 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $114.82 | Professional | 53 · Discontinued | $67.61 | $67.61 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $426.58 | Professional | 54 · Surgery only | $257.04 | $257.04 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $85.11 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $57.54 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $239.88 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $239.88 | $239.88 | $398.11 |
Where Nebraska sits
The same service costs 5.9 times more in Colorado than in Kentucky. 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 $4,303KY $729
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.