How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,288 to $11,220Professionalmedian $1,862 · 10th to 90th $1,023 to $6,457
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 $794.33 Median $794.33 Typical High $1,348.96 | Professional | None | $794.33 | $794.33 | $1,348.96 |
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 $6,456.54 Median $6,918.31 Typical High $7,585.78 | Professional | None | $6,456.54 | $6,918.31 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $5,128.61 Typical High $8,128.31 | Facility | None | $1,288.25 | $5,128.61 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,089.30 | Professional | None | $1,584.89 | $1,862.09 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,290.87 Typical High $25,118.86 | Facility | None | $1,148.15 | $2,290.87 | $25,118.86 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,949.84 Typical High $6,456.54 | Professional | None | $1,023.29 | $1,949.84 | $6,456.54 |
Midlands Setting Professional Modifier None Typical Low $1,659.59 Median $1,862.09 Typical High $2,454.71 | Professional | None | $1,659.59 | $1,862.09 | $2,454.71 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $5,623.41 Typical High $8,709.64 | Facility | None | $1,288.25 | $5,623.41 | $8,709.64 |
Midlands Setting Professional Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $2,754.23 | Professional | None | $1,479.11 | $2,089.30 | $2,754.23 |
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 $1,023.29 Median $1,737.80 Typical High $2,238.72 | Professional | None | $1,023.29 | $1,737.80 | $2,238.72 |
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 $398.11 Median $398.11 Typical High $676.08 | Professional | 52 · Reduced service | $398.11 | $398.11 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $269.15 | Professional | 53 · Discontinued | $158.49 | $158.49 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $1,023.29 | Professional | 54 · Surgery only | $602.56 | $602.56 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $204.17 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $134.90 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $954.99 |
Where Nebraska sits
The same service costs 4.5 times more in Alaska 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
AK $12,963MT $2,892
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.