How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,288 to $12,023Professionalmedian $1,995 · 10th to 90th $1,096 to $4,786
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 $7,585.78 Typical High $19,952.62 | Facility | None | $4,365.16 | $7,585.78 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,862.09 | Professional | None | $831.76 | $1,071.52 | $1,862.09 |
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 |
BCBS Nebraska Setting Professional Modifier None Typical Low $4,168.69 Median $4,466.84 Typical High $4,897.79 | Professional | None | $4,168.69 | $4,466.84 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $5,495.41 Median $6,456.54 Typical High $6,760.83 | Facility | None | $5,495.41 | $6,456.54 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $2,137.96 | Professional | None | $1,621.81 | $1,995.26 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,089.30 Typical High $12,022.64 | Facility | None | $1,148.15 | $2,089.30 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $2,089.30 Typical High $8,709.64 | Professional | None | $1,096.48 | $2,089.30 | $8,709.64 |
Midlands Setting Professional Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $2,691.53 | Professional | None | $1,621.81 | $2,041.74 | $2,691.53 |
Midlands Setting Facility Modifier None Typical Low $5,495.41 Median $6,456.54 Typical High $9,549.93 | Facility | None | $5,495.41 | $6,456.54 | $9,549.93 |
Midlands Setting Professional Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $2,818.38 | Professional | None | $1,548.82 | $2,041.74 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $8,912.51 | Facility | None | $1,288.25 | $2,238.72 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,096.48 | $1,819.70 | $2,511.89 |
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 $416.87 Median $416.87 Typical High $707.95 | Professional | 52 · Reduced service | $416.87 | $416.87 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $281.84 | Professional | 53 · Discontinued | $165.96 | $165.96 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $1,047.13 | Professional | 54 · Surgery only | $616.60 | $616.60 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $208.93 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $141.25 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $977.24 |
Where Nebraska sits
The same service costs 6.0 times more in Colorado 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
CO $12,479KY $2,087
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.