How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,549 to $16,596Professionalmedian $1,950 · 10th to 90th $1,072 to $6,607
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 $1,778.28 Median $7,079.46 Typical High $12,589.25 | Facility | None | $1,778.28 | $7,079.46 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,819.70 | Professional | None | $812.83 | $1,071.52 | $1,819.70 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,317.64 Median $10,964.78 Typical High $22,387.21 | Facility | None | $8,317.64 | $10,964.78 | $22,387.21 |
BCBS Nebraska Setting Professional Modifier None Typical Low $12,882.50 Median $13,803.84 Typical High $14,791.08 | Professional | None | $12,882.50 | $13,803.84 | $14,791.08 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $10,964.78 Typical High $15,848.93 | Facility | None | $1,288.25 | $10,964.78 | $15,848.93 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $1,949.84 Typical High $2,137.96 | Professional | None | $1,621.81 | $1,949.84 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $26,302.68 | Facility | None | $1,513.56 | $3,715.35 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $2,041.74 Typical High $6,606.93 | Professional | None | $1,071.52 | $2,041.74 | $6,606.93 |
Midlands Setting Professional Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $2,691.53 | Professional | None | $1,621.81 | $2,041.74 | $2,691.53 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $12,022.64 Typical High $16,595.87 | Facility | None | $1,288.25 | $12,022.64 | $16,595.87 |
Midlands Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $2,754.23 | Professional | None | $1,513.56 | $2,041.74 | $2,754.23 |
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 $1,071.52 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,071.52 | $1,778.28 | $2,454.71 |
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 $407.38 Median $407.38 Typical High $691.83 | Professional | 52 · Reduced service | $407.38 | $407.38 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $281.84 | Professional | 53 · Discontinued | $162.18 | $162.18 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $1,047.13 | Professional | 54 · Surgery only | $616.60 | $616.60 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $208.93 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $138.04 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $977.24 |
Where Nebraska sits
The same service costs 6.8 times more in Alaska 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
AK $19,480MT $2,858
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.