How much rates vary
Facilitymedian $6,310 · 10th to 90th $1,479 to $12,023Professionalmedian $3,467 · 10th to 90th $1,950 to $5,129
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 $4,677.35 Median $7,943.28 Typical High $21,877.62 | Facility | None | $4,677.35 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,398.83 | Professional | None | $1,479.11 | $1,479.11 | $2,398.83 |
Ambetter Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,317.64 Median $10,964.78 Typical High $22,387.21 | Facility | None | $8,317.64 | $10,964.78 | $22,387.21 |
Cigna Setting Facility Modifier None Typical Low $7,413.10 Median $8,511.38 Typical High $9,120.11 | Facility | None | $7,413.10 | $8,511.38 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $3,548.13 Typical High $3,890.45 | Professional | None | $2,884.03 | $3,548.13 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,691.53 Typical High $7,413.10 | Facility | None | $1,258.93 | $2,691.53 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $1,995.26 Median $3,801.89 Typical High $12,022.64 | Professional | None | $1,995.26 | $3,801.89 | $12,022.64 |
Midlands Setting Professional Modifier None Typical Low $2,884.03 Median $3,801.89 Typical High $5,011.87 | Professional | None | $2,884.03 | $3,801.89 | $5,011.87 |
Midlands Setting Facility Modifier None Typical Low $7,413.10 Median $8,511.38 Typical High $12,589.25 | Facility | None | $7,413.10 | $8,511.38 | $12,589.25 |
Midlands Setting Professional Modifier None Typical Low $2,754.23 Median $3,630.78 Typical High $5,128.61 | Professional | None | $2,754.23 | $3,630.78 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $8,912.51 | Facility | None | $1,380.38 | $3,019.95 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $3,311.31 Typical High $4,466.84 | Professional | None | $1,995.26 | $3,311.31 | $4,466.84 |
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 $741.31 Median $741.31 Typical High $1,288.25 | Professional | 52 · Reduced service | $741.31 | $741.31 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $512.86 | Professional | 53 · Discontinued | $295.12 | $295.12 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $380.19 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $257.04 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,778.28 |
Where Nebraska sits
The same service costs 4.7 times more in Alaska than in Kentucky. 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 $16,761KY $3,604
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.