How much rates vary
Facilitymedian $6,310 · 10th to 90th $1,862 to $16,596Professionalmedian $2,399 · 10th to 90th $1,288 to $4,365
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 $5,011.87 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,011.87 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,659.59 | Professional | None | $977.24 | $977.24 | $1,659.59 |
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 $2,137.96 Median $3,311.31 Typical High $4,365.16 | Professional | None | $2,137.96 | $3,311.31 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $14,125.38 Median $16,595.87 Typical High $17,378.01 | Facility | None | $14,125.38 | $16,595.87 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,398.83 Typical High $2,630.27 | Professional | None | $2,041.74 | $2,398.83 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,019.95 Typical High $6,309.57 | Facility | None | $1,513.56 | $3,019.95 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $2,454.71 Typical High $9,120.11 | Professional | None | $1,288.25 | $2,454.71 | $9,120.11 |
Midlands Setting Professional Modifier None Typical Low $2,398.83 Median $2,454.71 Typical High $3,311.31 | Professional | None | $2,398.83 | $2,454.71 | $3,311.31 |
Midlands Setting Facility Modifier None Typical Low $14,125.38 Median $16,595.87 Typical High $24,547.09 | Facility | None | $14,125.38 | $16,595.87 | $24,547.09 |
Midlands Setting Professional Modifier None Typical Low $1,819.70 Median $3,235.94 Typical High $3,311.31 | Professional | None | $1,819.70 | $3,235.94 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $9,772.37 | Facility | None | $1,698.24 | $3,801.89 | $9,772.37 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $2,951.21 | Professional | None | $1,288.25 | $2,137.96 | $2,951.21 |
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 $489.78 Median $489.78 Typical High $831.76 | Professional | 52 · Reduced service | $489.78 | $489.78 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $331.13 | Professional | 53 · Discontinued | $194.98 | $194.98 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $1,258.93 | Professional | 54 · Surgery only | $724.44 | $724.44 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $251.19 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $165.96 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $1,174.90 |
Where Nebraska sits
The same service costs 6.0 times more in Alaska than in Kentucky. 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 $15,585KY $2,601
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.