How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,288 to $10,471Professionalmedian $1,950 · 10th to 90th $1,072 to $6,761
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 $5,011.87 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,011.87 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,412.54 | Professional | None | $831.76 | $831.76 | $1,412.54 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,365.16 Median $5,888.44 Typical High $11,748.98 | Facility | None | $4,365.16 | $5,888.44 | $11,748.98 |
BCBS Nebraska Setting Professional Modifier None Typical Low $5,495.41 Median $5,754.40 Typical High $6,918.31 | Professional | None | $5,495.41 | $5,754.40 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $6,760.83 | Facility | None | $1,288.25 | $4,168.69 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $2,187.76 | Professional | None | $1,659.59 | $1,949.84 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $25,118.86 | Facility | None | $1,148.15 | $2,137.96 | $25,118.86 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $2,041.74 Typical High $6,760.83 | Professional | None | $1,071.52 | $2,041.74 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,778.28 Median $1,949.84 Typical High $2,570.40 | Professional | None | $1,778.28 | $1,949.84 | $2,570.40 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $5,128.61 Typical High $6,760.83 | Facility | None | $1,288.25 | $5,128.61 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,548.82 Median $2,187.76 Typical High $2,884.03 | Professional | None | $1,548.82 | $2,187.76 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $8,912.51 | Facility | None | $1,288.25 | $2,238.72 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $2,398.83 | Professional | None | $1,071.52 | $1,819.70 | $2,398.83 |
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 $416.87 Median $416.87 Typical High $707.95 | Professional | 52 · Reduced service | $416.87 | $416.87 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $281.84 | Professional | 53 · Discontinued | $165.96 | $165.96 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $1,047.13 | Professional | 54 · Surgery only | $630.96 | $630.96 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $208.93 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $141.25 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $977.24 |
Where Nebraska sits
The same service costs 4.2 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 $12,508MT $2,994
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.