How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,148 to $9,550Professionalmedian $1,479 · 10th to 90th $813 to $2,570
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 $602.56 Median $602.56 Typical High $1,288.25 | Professional | None | $602.56 | $602.56 | $1,288.25 |
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 $954.99 Median $2,398.83 Typical High $2,951.21 | Facility | None | $954.99 | $2,398.83 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $1,584.89 | Professional | None | $1,202.26 | $1,445.44 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $8,912.51 | Facility | None | $1,148.15 | $2,137.96 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,513.56 Typical High $5,888.44 | Professional | None | $812.83 | $1,513.56 | $5,888.44 |
Midlands Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,202.26 | $1,513.56 | $1,995.26 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $2,454.71 Typical High $3,162.28 | Facility | None | $954.99 | $2,454.71 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,122.02 | $1,513.56 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $6,309.57 | Facility | None | $1,288.25 | $2,238.72 | $6,309.57 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,348.96 Typical High $1,819.70 | Professional | None | $812.83 | $1,348.96 | $1,819.70 |
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 $302.00 Median $302.00 Typical High $512.86 | Professional | 52 · Reduced service | $302.00 | $302.00 | $512.86 |
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 $457.09 Median $457.09 Typical High $776.25 | Professional | 54 · Surgery only | $457.09 | $457.09 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $154.88 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $102.33 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $724.44 |
Where Nebraska sits
The same service costs 3.5 times more in Wisconsin than in Hawaii. 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
WI $7,283HI $2,091
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.