How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,514 to $13,804Professionalmedian $1,660 · 10th to 90th $912 to $6,457
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 $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,445.44 | Professional | None | $676.08 | $676.08 | $1,445.44 |
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 $6,918.31 Median $7,413.10 Typical High $8,128.31 | Professional | None | $6,918.31 | $7,413.10 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $7,079.46 Typical High $13,803.84 | Facility | None | $1,096.48 | $7,079.46 | $13,803.84 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,621.81 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,801.89 Typical High $26,302.68 | Facility | None | $1,513.56 | $3,801.89 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,737.80 Typical High $6,456.54 | Professional | None | $912.01 | $1,737.80 | $6,456.54 |
Midlands Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,318.26 | $1,698.24 | $2,238.72 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $7,244.36 Typical High $13,803.84 | Facility | None | $1,096.48 | $7,244.36 | $13,803.84 |
Midlands Setting Professional Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $2,344.23 | Professional | None | $1,258.93 | $1,659.59 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $8,912.51 | Facility | None | $1,698.24 | $3,801.89 | $8,912.51 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,513.56 Typical High $2,089.30 | Professional | None | $912.01 | $1,513.56 | $2,089.30 |
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 $338.84 Median $338.84 Typical High $575.44 | Professional | 52 · Reduced service | $338.84 | $338.84 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $229.09 | Professional | 53 · Discontinued | $134.90 | $134.90 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $851.14 | Professional | 54 · Surgery only | $501.19 | $501.19 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $169.82 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $114.82 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $794.33 |
Where Nebraska sits
The same service costs 6.0 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 $14,230MT $2,377
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.