How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,023 to $8,128Professionalmedian $1,047 · 10th to 90th $562 to $1,862
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 $912.01 Median $6,165.95 Typical High $12,589.25 | Facility | None | $912.01 | $6,165.95 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $912.01 Typical High $1,122.02 | Professional | None | $426.58 | $912.01 | $1,122.02 |
Ambetter Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
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 $1,737.80 Median $1,862.09 Typical High $1,949.84 | Professional | None | $1,737.80 | $1,862.09 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $2,187.76 | Facility | None | $1,479.11 | $1,905.46 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,096.48 | Professional | None | $870.96 | $1,023.29 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $6,760.83 | Facility | None | $831.76 | $1,819.70 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,071.52 Typical High $3,467.37 | Professional | None | $562.34 | $1,071.52 | $3,467.37 |
Midlands Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,380.38 | Professional | None | $870.96 | $1,047.13 | $1,380.38 |
Midlands Setting Facility Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $2,290.87 | Facility | None | $1,621.81 | $1,995.26 | $2,290.87 |
Midlands Setting Professional Modifier None Typical Low $776.25 Median $1,096.48 Typical High $1,445.44 | Professional | None | $776.25 | $1,096.48 | $1,445.44 |
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 $562.34 Median $933.25 Typical High $1,258.93 | Professional | None | $562.34 | $933.25 | $1,258.93 |
2 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 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $549.54 | Professional | 54 · Surgery only | $316.23 | $316.23 | $549.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $512.86 |
Where Nebraska sits
The same service costs 4.4 times more in Colorado 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
CO $6,812MT $1,536
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.