How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,514 to $12,023Professionalmedian $1,950 · 10th to 90th $1,047 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 $1,737.80 Median $6,165.95 Typical High $11,481.54 | Facility | None | $1,737.80 | $6,165.95 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,659.59 Typical High $2,089.30 | Professional | None | $794.33 | $1,659.59 | $2,089.30 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $1,862.09 Typical High $1,862.09 | Professional | None | $208.93 | $1,862.09 | $1,862.09 |
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 $6,606.93 Median $7,079.46 Typical High $7,413.10 | Professional | None | $6,606.93 | $7,079.46 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $5,495.41 Typical High $8,511.38 | Facility | None | $1,096.48 | $5,495.41 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $2,089.30 | Professional | None | $1,621.81 | $1,905.46 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,981.07 Typical High $26,302.68 | Facility | None | $1,513.56 | $3,981.07 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,995.26 Typical High $6,456.54 | Professional | None | $1,047.13 | $1,995.26 | $6,456.54 |
Midlands Setting Professional Modifier None Typical Low $1,621.81 Median $1,949.84 Typical High $2,570.40 | Professional | None | $1,621.81 | $1,949.84 | $2,570.40 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $5,623.41 Typical High $8,912.51 | Facility | None | $1,096.48 | $5,623.41 | $8,912.51 |
Midlands Setting Professional Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $2,754.23 | Professional | None | $1,479.11 | $2,041.74 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,981.07 Typical High $8,912.51 | Facility | None | $1,698.24 | $3,981.07 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $2,290.87 | Professional | None | $1,047.13 | $1,737.80 | $2,290.87 |
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 $398.11 Median $398.11 Typical High $676.08 | Professional | 52 · Reduced service | $398.11 | $398.11 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $269.15 | Professional | 53 · Discontinued | $158.49 | $158.49 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $1,023.29 | Professional | 54 · Surgery only | $602.56 | $602.56 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $204.17 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $134.90 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $954.99 |
Where Nebraska sits
The same service costs 5.5 times more in Colorado 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
CO $14,085HI $2,567
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.