How much rates vary
Facilitymedian $309 · 10th to 90th $129 to $4,898Professionalmedian $457 · 10th to 90th $240 to $724
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 $288.40 Median $602.56 Typical High $11,481.54 | Facility | None | $288.40 | $602.56 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $501.19 Typical High $676.08 | Professional | None | $251.19 | $501.19 | $676.08 |
Ambetter Setting Professional Modifier None Typical Low $467.74 Median $512.86 Typical High $549.54 | Professional | None | $467.74 | $512.86 | $549.54 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,388.44 Median $4,570.88 Typical High $9,120.11 | Facility | None | $3,388.44 | $4,570.88 | $9,120.11 |
BCBS Nebraska Setting Professional Modifier None Typical Low $218.78 Median $371.54 Typical High $501.19 | Professional | None | $218.78 | $371.54 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $199.53 Typical High $239.88 | Facility | None | $162.18 | $199.53 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $724.44 | Professional | None | $501.19 | $588.84 | $724.44 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $269.15 Typical High $1,258.93 | Facility | None | $107.15 | $269.15 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $691.83 Typical High $2,238.72 | Professional | None | $338.84 | $691.83 | $2,238.72 |
Midlands Setting Professional Modifier None Typical Low $588.84 Median $630.96 Typical High $870.96 | Professional | None | $588.84 | $630.96 | $870.96 |
Midlands Setting Facility Modifier None Typical Low $151.36 Median $204.17 Typical High $251.19 | Facility | None | $151.36 | $204.17 | $251.19 |
Midlands Setting Professional Modifier None Typical Low $467.74 Median $812.83 Typical High $891.25 | Professional | None | $467.74 | $812.83 | $891.25 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $338.84 Median $562.34 Typical High $707.95 | Professional | None | $338.84 | $562.34 | $707.95 |
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 $125.89 Median $138.04 Typical High $213.80 | Professional | 52 · Reduced service | $125.89 | $138.04 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $85.11 | Professional | 53 · Discontinued | $50.12 | $54.95 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $208.93 Typical High $316.23 | Professional | 54 · Surgery only | $190.55 | $208.93 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $41.69 Typical High $63.10 | Professional | 55 · Aftercare only | $38.02 | $41.69 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $27.54 Typical High $42.66 | Professional | 56 · Pre-op care only | $25.12 | $27.54 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $194.98 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $177.83 | $194.98 | $295.12 |
Where Nebraska sits
The same service costs 6.4 times more in Colorado than in Florida. 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 $2,602FL $408
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.