How much rates vary
Facilitymedian $1,514 · 10th to 90th $832 to $6,918Professionalmedian $1,549 · 10th to 90th $912 to $2,344
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 $1,659.59 Median $5,011.87 Typical High $11,481.54 | Facility | None | $1,659.59 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,445.44 | Professional | None | $691.83 | $691.83 | $1,445.44 |
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 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $1,380.38 | Professional | None | $1,202.26 | $1,288.25 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $1,584.89 | Facility | None | $954.99 | $1,318.26 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $1,778.28 | Professional | None | $1,445.44 | $1,659.59 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $4,786.30 | Facility | None | $758.58 | $1,412.54 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,737.80 Typical High $5,623.41 | Professional | None | $912.01 | $1,737.80 | $5,623.41 |
Midlands Setting Professional Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $2,290.87 | Professional | None | $1,445.44 | $1,737.80 | $2,290.87 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $1,698.24 | Facility | None | $954.99 | $1,318.26 | $1,698.24 |
Midlands Setting Professional Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $2,344.23 | Professional | None | $1,258.93 | $1,819.70 | $2,344.23 |
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 $1,513.56 Typical High $2,089.30 | Professional | None | $912.01 | $1,513.56 | $2,089.30 |
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 $346.74 Median $346.74 Typical High $588.84 | Professional | 52 · Reduced service | $346.74 | $346.74 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $234.42 | Professional | 53 · Discontinued | $138.04 | $138.04 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $870.96 | Professional | 54 · Surgery only | $512.86 | $512.86 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $177.83 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $117.49 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $812.83 |
Where Nebraska sits
The same service costs 3.6 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 $5,545AL $1,558
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.