How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,023 to $9,120Professionalmedian $617 · 10th to 90th $316 to $1,549
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 $478.63 Median $4,466.84 Typical High $11,481.54 | Facility | None | $478.63 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $812.83 | Professional | None | $316.23 | $478.63 | $812.83 |
BCBS Nebraska Setting Facility Modifier None Typical Low $7,079.46 Median $9,332.54 Typical High $19,054.61 | Facility | None | $7,079.46 | $9,332.54 | $19,054.61 |
BCBS Nebraska Setting Professional Modifier None Typical Low $281.84 Median $501.19 Typical High $707.95 | Professional | None | $281.84 | $501.19 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $2,884.03 | Facility | None | $954.99 | $1,995.26 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,445.44 | Professional | None | $758.58 | $1,047.13 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,819.70 Typical High $7,943.28 | Facility | None | $851.14 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,445.44 Typical High $3,890.45 | Professional | None | $776.25 | $1,445.44 | $3,890.45 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,445.44 | Professional | None | $891.25 | $1,096.48 | $1,445.44 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $2,344.23 Typical High $3,890.45 | Facility | None | $954.99 | $2,344.23 | $3,890.45 |
Midlands Setting Professional Modifier None Typical Low $588.84 Median $1,096.48 Typical High $1,698.24 | Professional | None | $588.84 | $1,096.48 | $1,698.24 |
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 $512.86 Median $891.25 Typical High $1,548.82 | Professional | None | $512.86 | $891.25 | $1,548.82 |
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 $158.49 Median $239.88 Typical High $269.15 | Professional | 52 · Reduced service | $158.49 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $95.50 Typical High $107.15 | Professional | 53 · Discontinued | $63.10 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $363.08 Typical High $398.11 | Professional | 54 · Surgery only | $239.88 | $363.08 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $72.44 Typical High $79.43 | Professional | 55 · Aftercare only | $47.86 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $47.86 Typical High $53.70 | Professional | 56 · Pre-op care only | $31.62 | $47.86 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $338.84 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $223.87 | $338.84 | $371.54 |
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 $6,451MT $1,460
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.