How much rates vary
Facilitymedian $2,455 · 10th to 90th $832 to $8,128Professionalmedian $1,380 · 10th to 90th $776 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 $616.60 Median $616.60 Typical High $1,318.26 | Professional | None | $616.60 | $616.60 | $1,318.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,019.95 Median $3,981.07 Typical High $8,128.31 | Facility | None | $3,019.95 | $3,981.07 | $8,128.31 |
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 $1,949.84 Typical High $2,884.03 | Facility | None | $1,096.48 | $1,949.84 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,380.38 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $8,912.51 | Facility | None | $758.58 | $1,380.38 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,445.44 Typical High $5,011.87 | Professional | None | $776.25 | $1,445.44 | $5,011.87 |
Midlands Setting Professional Modifier None Typical Low $1,288.25 Median $1,380.38 Typical High $1,819.70 | Professional | None | $1,288.25 | $1,380.38 | $1,819.70 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $2,238.72 Typical High $3,019.95 | Facility | None | $1,096.48 | $2,238.72 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,148.15 | $1,584.89 | $2,089.30 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $4,073.80 | Facility | None | $707.95 | $1,445.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,318.26 Typical High $1,659.59 | Professional | None | $776.25 | $1,318.26 | $1,659.59 |
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 $309.03 Median $309.03 Typical High $512.86 | Professional | 52 · Reduced service | $309.03 | $309.03 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $204.17 | Professional | 53 · Discontinued | $123.03 | $123.03 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $776.25 | Professional | 54 · Surgery only | $457.09 | $457.09 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $154.88 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $102.33 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $724.44 |
Where Nebraska sits
The same service costs 4.3 times more in Alaska than in West Virginia. 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 $6,645WV $1,559
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.