How much rates vary
Facilitymedian $2,042 · 10th to 90th $794 to $7,244Professionalmedian $1,585 · 10th to 90th $912 to $5,370
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 $1,548.82 Median $4,365.16 Typical High $11,481.54 | Facility | None | $1,548.82 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,122.02 | Professional | None | $660.69 | $660.69 | $1,122.02 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,388.44 Median $4,570.88 Typical High $9,120.11 | Facility | None | $3,388.44 | $4,570.88 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,318.26 | $1,513.56 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $1,737.80 | Professional | None | $1,348.96 | $1,584.89 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $1,122.02 Typical High $3,715.35 | Facility | None | $660.69 | $1,122.02 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,698.24 Typical High $5,370.32 | Professional | None | $912.01 | $1,698.24 | $5,370.32 |
Midlands Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,348.96 | $1,698.24 | $2,238.72 |
Midlands Setting Facility Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $2,238.72 | Facility | None | $1,318.26 | $1,513.56 | $2,238.72 |
Midlands Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $2,290.87 | Professional | None | $1,230.27 | $1,698.24 | $2,290.87 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,479.11 Typical High $2,041.74 | Professional | None | $912.01 | $1,479.11 | $2,041.74 |
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 $331.13 Median $331.13 Typical High $562.34 | Professional | 52 · Reduced service | $331.13 | $331.13 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $229.09 | Professional | 53 · Discontinued | $131.83 | $131.83 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $851.14 | Professional | 54 · Surgery only | $501.19 | $501.19 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $169.82 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $112.20 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $794.33 |
Where Nebraska sits
The same service costs 4.3 times more in Alaska than in Alabama. 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 $6,582AL $1,537
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.