How much rates vary
Facilitymedian $2,042 · 10th to 90th $832 to $8,128Professionalmedian $1,380 · 10th to 90th $741 to $1,950
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 $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,380.38 | Professional | None | $562.34 | $562.34 | $1,380.38 |
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 $1,096.48 Median $1,621.81 Typical High $2,187.76 | Facility | None | $1,096.48 | $1,621.81 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,445.44 | Professional | None | $1,122.02 | $1,318.26 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $1,380.38 Typical High $6,760.83 | Facility | None | $707.95 | $1,380.38 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $1,380.38 Typical High $4,466.84 | Professional | None | $741.31 | $1,380.38 | $4,466.84 |
Midlands Setting Professional Modifier None Typical Low $1,122.02 Median $1,380.38 Typical High $1,819.70 | Professional | None | $1,122.02 | $1,380.38 | $1,819.70 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $2,290.87 | Facility | None | $1,096.48 | $1,819.70 | $2,290.87 |
Midlands Setting Professional Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $1,905.46 | Professional | None | $1,023.29 | $1,412.54 | $1,905.46 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,801.89 | Facility | None | $707.95 | $1,445.44 | $3,801.89 |
United Setting Professional Modifier None Typical Low $741.31 Median $1,202.26 Typical High $1,659.59 | Professional | None | $741.31 | $1,202.26 | $1,659.59 |
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 $281.84 Median $281.84 Typical High $478.63 | Professional | 52 · Reduced service | $281.84 | $281.84 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $190.55 | Professional | 53 · Discontinued | $112.20 | $112.20 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $707.95 | Professional | 54 · Surgery only | $416.87 | $416.87 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $144.54 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $95.50 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $660.69 |
Where Nebraska sits
The same service costs 4.6 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 $6,475DE $1,401
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.