How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,175 to $16,218Professionalmedian $2,512 · 10th to 90th $1,413 to $8,511
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 $1,047.13 Median $1,047.13 Typical High $1,778.28 | Professional | None | $1,047.13 | $1,047.13 | $1,778.28 |
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 $12,302.69 Median $13,182.57 Typical High $14,125.38 | Professional | None | $12,302.69 | $13,182.57 | $14,125.38 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $10,715.19 Typical High $15,488.17 | Facility | None | $954.99 | $10,715.19 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $2,691.53 | Professional | None | $2,041.74 | $2,511.89 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,290.87 Typical High $21,379.62 | Facility | None | $1,174.90 | $2,290.87 | $21,379.62 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $2,691.53 Typical High $8,511.38 | Professional | None | $1,412.54 | $2,691.53 | $8,511.38 |
Midlands Setting Professional Modifier None Typical Low $2,041.74 Median $2,630.27 Typical High $3,467.37 | Professional | None | $2,041.74 | $2,630.27 | $3,467.37 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $10,964.78 Typical High $16,595.87 | Facility | None | $954.99 | $10,964.78 | $16,595.87 |
Midlands Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $3,548.13 | Professional | None | $1,949.84 | $2,570.40 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $8,912.51 | Facility | None | $1,288.25 | $2,238.72 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $2,344.23 Typical High $3,162.28 | Professional | None | $1,412.54 | $2,344.23 | $3,162.28 |
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 $524.81 Median $524.81 Typical High $891.25 | Professional | 52 · Reduced service | $524.81 | $524.81 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $354.81 | Professional | 53 · Discontinued | $208.93 | $208.93 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $1,318.26 | Professional | 54 · Surgery only | $776.25 | $776.25 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $263.03 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $177.83 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $1,230.27 |
Where Nebraska sits
The same service costs 6.9 times more in Alaska 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
AK $18,481HI $2,671
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.