How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,175 to $8,913Professionalmedian $1,698 · 10th to 90th $933 to $2,570
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 $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,445.44 | Professional | None | $724.44 | $724.44 | $1,445.44 |
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 $2,290.87 Median $2,454.71 Typical High $2,570.40 | Professional | None | $2,290.87 | $2,454.71 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,344.23 Typical High $2,884.03 | Facility | None | $1,096.48 | $2,344.23 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $1,905.46 | Professional | None | $1,445.44 | $1,698.24 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $8,912.51 | Facility | None | $1,148.15 | $2,137.96 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,778.28 Typical High $5,888.44 | Professional | None | $933.25 | $1,778.28 | $5,888.44 |
Midlands Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,548.82 | $1,698.24 | $2,238.72 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $2,398.83 Typical High $3,019.95 | Facility | None | $1,096.48 | $2,398.83 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $1,348.96 Median $1,949.84 Typical High $2,511.89 | Professional | None | $1,348.96 | $1,949.84 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $6,309.57 | Facility | None | $1,288.25 | $2,238.72 | $6,309.57 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,548.82 Typical High $2,041.74 | Professional | None | $933.25 | $1,548.82 | $2,041.74 |
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 $363.08 Median $363.08 Typical High $616.60 | Professional | 52 · Reduced service | $363.08 | $363.08 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $245.47 | Professional | 53 · Discontinued | $144.54 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $912.01 | Professional | 54 · Surgery only | $549.54 | $549.54 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $181.97 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $123.03 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $851.14 |
Where Nebraska sits
The same service costs 3.1 times more in Wisconsin than in Hawaii. 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
WI $7,619HI $2,493
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.