How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,023 to $7,943Professionalmedian $603 · 10th to 90th $309 to $1,230
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 $446.68 Median $4,466.84 Typical High $11,481.54 | Facility | None | $446.68 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $616.60 Typical High $1,174.90 | Professional | None | $309.03 | $616.60 | $1,174.90 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,786.30 Median $6,456.54 Typical High $12,882.50 | Facility | None | $4,786.30 | $6,456.54 | $12,882.50 |
BCBS Nebraska Setting Professional Modifier None Typical Low $269.15 Median $478.63 Typical High $660.69 | Professional | None | $269.15 | $478.63 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,089.30 Typical High $2,884.03 | Facility | None | $954.99 | $2,089.30 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,174.90 | Professional | None | $645.65 | $954.99 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,819.70 Typical High $7,943.28 | Facility | None | $851.14 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,174.90 Typical High $3,630.78 | Professional | None | $602.56 | $1,174.90 | $3,630.78 |
Midlands Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,230.27 | Professional | None | $758.58 | $1,023.29 | $1,230.27 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $2,344.23 Typical High $3,019.95 | Facility | None | $954.99 | $2,344.23 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $575.44 Median $1,023.29 Typical High $1,513.56 | Professional | None | $575.44 | $1,023.29 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,174.90 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $436.52 Median $741.31 Typical High $1,230.27 | Professional | None | $436.52 | $741.31 | $1,230.27 |
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 $154.88 Median $223.87 Typical High $257.04 | Professional | 52 · Reduced service | $154.88 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $89.13 Typical High $104.71 | Professional | 53 · Discontinued | $61.66 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $338.84 Typical High $389.05 | Professional | 54 · Surgery only | $229.09 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $67.61 Typical High $77.62 | Professional | 55 · Aftercare only | $46.77 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $44.67 Typical High $52.48 | Professional | 56 · Pre-op care only | $30.90 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $316.23 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $213.80 | $316.23 | $363.08 |
Where Nebraska sits
The same service costs 5.3 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 $6,378MT $1,213
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.