How much rates vary
Facilitymedian $1,514 · 10th to 90th $832 to $7,762Professionalmedian $891 · 10th to 90th $501 to $1,445
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 $416.87 Median $416.87 Typical High $1,380.38 | Professional | None | $416.87 | $416.87 | $1,380.38 |
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 $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 $1,047.13 Median $1,318.26 Typical High $1,584.89 | Facility | None | $1,047.13 | $1,318.26 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $1,096.48 | Professional | None | $741.31 | $891.25 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $1,348.96 Typical High $4,786.30 | Facility | None | $707.95 | $1,348.96 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $954.99 Typical High $3,388.44 | Professional | None | $501.19 | $954.99 | $3,388.44 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,174.90 | Professional | None | $891.25 | $891.25 | $1,174.90 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,621.81 | Facility | None | $1,096.48 | $1,318.26 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $776.25 Median $1,096.48 Typical High $1,445.44 | Professional | None | $776.25 | $1,096.48 | $1,445.44 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $501.19 Median $891.25 Typical High $1,071.52 | Professional | None | $501.19 | $891.25 | $1,071.52 |
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 $208.93 Median $208.93 Typical High $346.74 | Professional | 52 · Reduced service | $208.93 | $208.93 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $138.04 | Professional | 53 · Discontinued | $83.18 | $83.18 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $309.03 Typical High $524.81 | Professional | 54 · Surgery only | $309.03 | $309.03 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $104.71 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $69.18 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $489.78 |
Where Nebraska sits
The same service costs 4.2 times more in Colorado than in Delaware. 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 $4,996DE $1,192
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.