How much rates vary
Facilitymedian $2,399 · 10th to 90th $708 to $7,244Professionalmedian $1,288 · 10th to 90th $724 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 $1,258.93 Median $3,090.30 Typical High $11,481.54 | Facility | None | $1,258.93 | $3,090.30 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $1,288.25 | Professional | None | $575.44 | $676.08 | $1,288.25 |
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 $645.65 Median $1,995.26 Typical High $2,884.03 | Facility | None | $645.65 | $1,995.26 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,513.56 | Professional | None | $1,096.48 | $1,288.25 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $1,380.38 Typical High $8,912.51 | Facility | None | $707.95 | $1,380.38 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,380.38 Typical High $4,677.35 | Professional | None | $724.44 | $1,380.38 | $4,677.35 |
Midlands Setting Professional Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $1,698.24 | Professional | None | $1,202.26 | $1,288.25 | $1,698.24 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $2,344.23 Typical High $3,019.95 | Facility | None | $645.65 | $2,344.23 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,071.52 | $1,513.56 | $1,995.26 |
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 $724.44 Median $1,230.27 Typical High $1,548.82 | Professional | None | $724.44 | $1,230.27 | $1,548.82 |
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 $288.40 Median $288.40 Typical High $478.63 | Professional | 52 · Reduced service | $288.40 | $288.40 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $194.98 | Professional | 53 · Discontinued | $114.82 | $114.82 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $724.44 | Professional | 54 · Surgery only | $436.52 | $436.52 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $144.54 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $97.72 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $676.08 |
Where Nebraska sits
The same service costs 5.0 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 $6,515DE $1,300
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.