How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,230 to $11,749Professionalmedian $1,072 · 10th to 90th $575 to $2,455
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 $9,549.93 Typical High $21,877.62 | Facility | None | $4,365.16 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $1,174.90 | Professional | None | $446.68 | $588.84 | $1,174.90 |
Ambetter Setting Professional Modifier None Typical Low $776.25 Median $1,047.13 Typical High $1,047.13 | Professional | None | $776.25 | $1,047.13 | $1,047.13 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,317.64 Median $10,964.78 Typical High $22,387.21 | Facility | None | $8,317.64 | $10,964.78 | $22,387.21 |
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 $1,905.46 Median $2,344.23 Typical High $2,884.03 | Facility | None | $1,905.46 | $2,344.23 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,148.15 | Professional | None | $891.25 | $1,071.52 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $1,949.84 Typical High $8,912.51 | Facility | None | $977.24 | $1,949.84 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $1,071.52 Typical High $3,548.13 | Professional | None | $575.44 | $1,071.52 | $3,548.13 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,412.54 | Professional | None | $891.25 | $1,071.52 | $1,412.54 |
Midlands Setting Facility Modifier None Typical Low $1,949.84 Median $2,398.83 Typical High $3,019.95 | Facility | None | $1,949.84 | $2,398.83 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,479.11 | Professional | None | $831.76 | $1,122.02 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,174.90 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $575.44 Median $954.99 Typical High $1,288.25 | Professional | None | $575.44 | $954.99 | $1,288.25 |
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 $223.87 Median $223.87 Typical High $371.54 | Professional | 52 · Reduced service | $223.87 | $223.87 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $151.36 | Professional | 53 · Discontinued | $89.13 | $89.13 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $562.34 | Professional | 54 · Surgery only | $331.13 | $331.13 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $112.20 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $75.86 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $524.81 |
Where Nebraska sits
The same service costs 5.4 times more in Alabama than in Montana. 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
AL $8,312MT $1,553
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.