How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,023 to $11,749Professionalmedian $1,072 · 10th to 90th $575 to $4,467
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 $446.68 Median $954.99 Typical High $1,148.15 | Professional | None | $446.68 | $954.99 | $1,148.15 |
Ambetter Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,128.31 Median $10,715.19 Typical High $21,877.62 | Facility | None | $8,128.31 | $10,715.19 | $21,877.62 |
BCBS Nebraska Setting Professional Modifier None Typical Low $5,011.87 Median $5,370.32 Typical High $5,754.40 | Professional | None | $5,011.87 | $5,370.32 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $4,168.69 Typical High $6,456.54 | Facility | None | $954.99 | $4,168.69 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,148.15 | Professional | None | $891.25 | $1,047.13 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $1,819.70 Typical High $16,218.10 | Facility | None | $1,023.29 | $1,819.70 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $1,096.48 Typical High $4,466.84 | Professional | None | $575.44 | $1,096.48 | $4,466.84 |
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 $5,128.61 Typical High $6,760.83 | Facility | None | $954.99 | $5,128.61 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,445.44 | Professional | None | $812.83 | $1,096.48 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $8,128.31 | Facility | None | $1,174.90 | $1,862.09 | $8,128.31 |
United Setting Professional Modifier None Typical Low $575.44 Median $954.99 Typical High $1,318.26 | Professional | None | $575.44 | $954.99 | $1,318.26 |
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 $218.78 Median $218.78 Typical High $371.54 | Professional | 52 · Reduced service | $218.78 | $218.78 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $147.91 | Professional | 53 · Discontinued | $89.13 | $89.13 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $562.34 | Professional | 54 · Surgery only | $331.13 | $331.13 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $112.20 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $74.13 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $524.81 |
Where Nebraska sits
The same service costs 7.0 times more in Alabama 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
AL $10,808MT $1,535
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.