How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,288 to $10,471Professionalmedian $2,239 · 10th to 90th $1,230 to $5,754
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 $954.99 Median $954.99 Typical High $1,621.81 | Professional | None | $954.99 | $954.99 | $1,621.81 |
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 $5,011.87 Median $5,370.32 Typical High $5,754.40 | Professional | None | $5,011.87 | $5,370.32 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $6,456.54 | Facility | None | $1,288.25 | $4,168.69 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,511.89 | Professional | None | $1,905.46 | $2,238.72 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $19,952.62 | Facility | None | $1,148.15 | $2,137.96 | $19,952.62 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $2,290.87 Typical High $7,762.47 | Professional | None | $1,230.27 | $2,290.87 | $7,762.47 |
Midlands Setting Professional Modifier None Typical Low $1,949.84 Median $2,238.72 Typical High $2,951.21 | Professional | None | $1,949.84 | $2,238.72 | $2,951.21 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $5,128.61 Typical High $6,760.83 | Facility | None | $1,288.25 | $5,128.61 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $3,235.94 | Professional | None | $1,778.28 | $2,454.71 | $3,235.94 |
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 $1,230.27 Median $2,041.74 Typical High $2,691.53 | Professional | None | $1,230.27 | $2,041.74 | $2,691.53 |
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 $478.63 Median $478.63 Typical High $812.83 | Professional | 52 · Reduced service | $478.63 | $478.63 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $323.59 | Professional | 53 · Discontinued | $190.55 | $190.55 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $1,202.26 | Professional | 54 · Surgery only | $724.44 | $724.44 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $239.88 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $162.18 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $1,122.02 |
Where Nebraska sits
The same service costs 3.9 times more in Alaska 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
AK $12,209DE $3,093
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.