How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,288 to $12,303Professionalmedian $1,445 · 10th to 90th $776 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 $5,011.87 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,011.87 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $1,318.26 | Professional | None | $588.84 | $645.65 | $1,318.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $7,079.46 Median $9,549.93 Typical High $19,054.61 | Facility | None | $7,079.46 | $9,549.93 | $19,054.61 |
BCBS Nebraska Setting Professional Modifier None Typical Low $6,606.93 Median $7,244.36 Typical High $7,943.28 | Professional | None | $6,606.93 | $7,244.36 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $2,884.03 Typical High $9,549.93 | Facility | None | $1,288.25 | $2,884.03 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $1,548.82 | Professional | None | $1,202.26 | $1,412.54 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,137.96 Typical High $25,703.96 | Facility | None | $1,122.02 | $2,137.96 | $25,703.96 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,479.11 Typical High $4,786.30 | Professional | None | $776.25 | $1,479.11 | $4,786.30 |
Midlands Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $1,905.46 | Professional | None | $1,202.26 | $1,445.44 | $1,905.46 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $5,495.41 Typical High $10,232.93 | Facility | None | $1,288.25 | $5,495.41 | $10,232.93 |
Midlands Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,096.48 | $1,479.11 | $1,995.26 |
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 $776.25 Median $1,288.25 Typical High $1,737.80 | Professional | None | $776.25 | $1,288.25 | $1,737.80 |
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 $295.12 Median $295.12 Typical High $501.19 | Professional | 52 · Reduced service | $295.12 | $295.12 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $204.17 | Professional | 53 · Discontinued | $120.23 | $120.23 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $758.58 | Professional | 54 · Surgery only | $446.68 | $446.68 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $151.36 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $100.00 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $707.95 |
Where Nebraska sits
The same service costs 5.4 times more in Alaska than in Montana. 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 $11,142MT $2,070
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.