How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,023 to $9,120Professionalmedian $617 · 10th to 90th $339 to $2,512
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 $251.19 Median $323.59 Typical High $562.34 | Professional | None | $251.19 | $323.59 | $562.34 |
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 $2,290.87 Median $2,454.71 Typical High $2,570.40 | Professional | None | $2,290.87 | $2,454.71 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,995.26 Typical High $2,884.03 | Facility | None | $645.65 | $1,995.26 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $660.69 | Professional | None | $501.19 | $602.56 | $660.69 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,949.84 Typical High $8,912.51 | Facility | None | $851.14 | $1,949.84 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $630.96 Typical High $3,890.45 | Professional | None | $338.84 | $630.96 | $3,890.45 |
Midlands Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $851.14 | Professional | None | $501.19 | $630.96 | $851.14 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $2,344.23 Typical High $3,019.95 | Facility | None | $645.65 | $2,344.23 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $851.14 | Professional | None | $467.74 | $630.96 | $851.14 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,174.90 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $338.84 Median $562.34 Typical High $758.58 | Professional | None | $338.84 | $562.34 | $758.58 |
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 $125.89 Median $125.89 Typical High $213.80 | Professional | 52 · Reduced service | $125.89 | $125.89 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $85.11 | Professional | 53 · Discontinued | $50.12 | $50.12 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $316.23 | Professional | 54 · Surgery only | $186.21 | $186.21 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $63.10 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $42.66 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $173.78 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $173.78 | $173.78 | $295.12 |
Where Nebraska sits
The same service costs 7.3 times more in Colorado 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
CO $6,269MT $863
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.