How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,230 to $14,454Professionalmedian $3,388 · 10th to 90th $1,950 to $4,898
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 $1,445.44 Median $1,445.44 Typical High $3,235.94 | Professional | None | $1,445.44 | $1,445.44 | $3,235.94 |
BCBS Nebraska Setting Facility Modifier None Typical Low $7,079.46 Median $9,332.54 Typical High $19,054.61 | Facility | None | $7,079.46 | $9,332.54 | $19,054.61 |
Cigna Setting Facility Modifier None Typical Low $10,232.93 Median $12,022.64 Typical High $12,589.25 | Facility | None | $10,232.93 | $12,022.64 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $3,467.37 Typical High $3,801.89 | Professional | None | $2,754.23 | $3,467.37 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $6,456.54 | Facility | None | $1,071.52 | $1,819.70 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $1,949.84 Median $3,630.78 Typical High $11,748.98 | Professional | None | $1,949.84 | $3,630.78 | $11,748.98 |
Midlands Setting Professional Modifier None Typical Low $2,754.23 Median $3,630.78 Typical High $4,786.30 | Professional | None | $2,754.23 | $3,630.78 | $4,786.30 |
Midlands Setting Facility Modifier None Typical Low $10,232.93 Median $12,022.64 Typical High $17,378.01 | Facility | None | $10,232.93 | $12,022.64 | $17,378.01 |
Midlands Setting Professional Modifier None Typical Low $2,691.53 Median $3,467.37 Typical High $4,897.79 | Professional | None | $2,691.53 | $3,467.37 | $4,897.79 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $8,128.31 | Facility | None | $1,174.90 | $1,862.09 | $8,128.31 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $4,365.16 | Professional | None | $1,949.84 | $3,162.28 | $4,365.16 |
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 $724.44 Median $724.44 Typical High $1,230.27 | Professional | 52 · Reduced service | $724.44 | $724.44 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $489.78 | Professional | 53 · Discontinued | $288.40 | $288.40 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $371.54 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $245.47 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,737.80 |
Where Nebraska sits
The same service costs 6.3 times more in Alaska than in Texas. 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
AK $16,928TX $2,675
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.