How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,318 to $8,128Professionalmedian $2,570 · 10th to 90th $1,549 to $3,890
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 $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,905.46 | Professional | None | $1,122.02 | $1,122.02 | $1,905.46 |
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 $1,737.80 Median $1,862.09 Typical High $1,949.84 | Professional | None | $1,737.80 | $1,862.09 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $2,187.76 | Facility | None | $1,479.11 | $1,905.46 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,691.53 Typical High $2,951.21 | Professional | None | $2,238.72 | $2,691.53 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $1,905.46 Typical High $6,760.83 | Facility | None | $1,096.48 | $1,905.46 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,884.03 Typical High $9,120.11 | Professional | None | $1,548.82 | $2,884.03 | $9,120.11 |
Midlands Setting Professional Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $3,801.89 | Professional | None | $2,238.72 | $2,884.03 | $3,801.89 |
Midlands Setting Facility Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $2,290.87 | Facility | None | $1,621.81 | $1,995.26 | $2,290.87 |
Midlands Setting Professional Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $3,890.45 | Professional | None | $2,089.30 | $2,818.38 | $3,890.45 |
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 $1,548.82 Median $2,511.89 Typical High $3,467.37 | Professional | None | $1,548.82 | $2,511.89 | $3,467.37 |
2 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 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $1,445.44 | Professional | 54 · Surgery only | $851.14 | $851.14 | $1,445.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $1,348.96 |
Where Nebraska sits
The same service costs 3.4 times more in Alaska than in Maryland. 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 $8,759MD $2,608
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.