How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,023 to $7,244Professionalmedian $724 · 10th to 90th $380 to $1,514
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 $537.03 Median $4,466.84 Typical High $11,481.54 | Facility | None | $537.03 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $891.25 | Professional | None | $380.19 | $537.03 | $891.25 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,677.35 Median $6,309.57 Typical High $12,589.25 | Facility | None | $4,677.35 | $6,309.57 | $12,589.25 |
BCBS Nebraska Setting Professional Modifier None Typical Low $338.84 Median $602.56 Typical High $831.76 | Professional | None | $338.84 | $602.56 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,819.70 Typical High $2,187.76 | Facility | None | $954.99 | $1,819.70 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,122.02 Typical High $1,380.38 | Professional | None | $794.33 | $1,122.02 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,819.70 Typical High $6,760.83 | Facility | None | $851.14 | $1,819.70 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $1,412.54 Typical High $4,365.16 | Professional | None | $707.95 | $1,412.54 | $4,365.16 |
Midlands Setting Professional Modifier None Typical Low $933.25 Median $1,288.25 Typical High $1,513.56 | Professional | None | $933.25 | $1,288.25 | $1,513.56 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,862.09 Typical High $2,290.87 | Facility | None | $954.99 | $1,862.09 | $2,290.87 |
Midlands Setting Professional Modifier None Typical Low $707.95 Median $1,288.25 Typical High $1,819.70 | Professional | None | $707.95 | $1,288.25 | $1,819.70 |
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 $537.03 Median $912.01 Typical High $1,412.54 | Professional | None | $537.03 | $912.01 | $1,412.54 |
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 $190.55 Median $269.15 Typical High $323.59 | Professional | 52 · Reduced service | $190.55 | $269.15 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $107.15 Typical High $128.82 | Professional | 53 · Discontinued | $75.86 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $398.11 Typical High $489.78 | Professional | 54 · Surgery only | $288.40 | $398.11 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $79.43 Typical High $97.72 | Professional | 55 · Aftercare only | $57.54 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $53.70 Typical High $64.57 | Professional | 56 · Pre-op care only | $38.02 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $371.54 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $269.15 | $371.54 | $457.09 |
Where Nebraska sits
The same service costs 4.4 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 $6,491MT $1,489
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.