How much rates vary
Facilitymedian $1,230 · 10th to 90th $537 to $6,918Professionalmedian $1,445 · 10th to 90th $851 to $2,188
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 $1,659.59 Median $5,011.87 Typical High $11,481.54 | Facility | None | $1,659.59 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,318.26 | Professional | None | $645.65 | $645.65 | $1,318.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,677.35 Median $6,309.57 Typical High $12,589.25 | Facility | None | $4,677.35 | $6,309.57 | $12,589.25 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,148.15 | Professional | None | $1,023.29 | $1,096.48 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,380.38 | Facility | None | $794.33 | $1,023.29 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $1,698.24 | Professional | None | $1,288.25 | $1,548.82 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $1,023.29 Typical High $5,011.87 | Facility | None | $489.78 | $1,023.29 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,584.89 Typical High $5,248.07 | Professional | None | $851.14 | $1,584.89 | $5,248.07 |
Midlands Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,288.25 | $1,584.89 | $2,089.30 |
Midlands Setting Facility Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,380.38 | Facility | None | $794.33 | $1,047.13 | $1,380.38 |
Midlands Setting Professional Modifier None Typical Low $1,202.26 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,202.26 | $1,584.89 | $2,187.76 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,818.38 | Facility | None | $467.74 | $851.14 | $2,818.38 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,412.54 Typical High $1,905.46 | Professional | None | $851.14 | $1,412.54 | $1,905.46 |
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 $323.59 Median $323.59 Typical High $549.54 | Professional | 52 · Reduced service | $323.59 | $323.59 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $218.78 | Professional | 53 · Discontinued | $128.82 | $128.82 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $831.76 | Professional | 54 · Surgery only | $489.78 | $489.78 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $165.96 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $109.65 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $776.25 |
Where Nebraska sits
The same service costs 3.6 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 $4,868DE $1,354
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.