How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,096 to $8,318Professionalmedian $490 · 10th to 90th $251 to $1,000
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 $371.54 Median $7,244.36 Typical High $17,378.01 | Facility | None | $371.54 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $478.63 Typical High $977.24 | Professional | None | $251.19 | $478.63 | $977.24 |
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 $218.78 Median $389.05 Typical High $537.03 | Professional | None | $218.78 | $389.05 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,905.46 Typical High $2,884.03 | Facility | None | $1,096.48 | $1,905.46 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $977.24 | Professional | None | $524.81 | $794.33 | $977.24 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $1,819.70 Typical High $7,943.28 | Facility | None | $707.95 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $977.24 Typical High $3,019.95 | Professional | None | $512.86 | $977.24 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $1,000.00 | Professional | None | $616.60 | $831.76 | $1,000.00 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $2,089.30 Typical High $3,019.95 | Facility | None | $1,096.48 | $2,089.30 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $467.74 Median $831.76 Typical High $1,258.93 | Professional | None | $467.74 | $831.76 | $1,258.93 |
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 $354.81 Median $602.56 Typical High $1,023.29 | Professional | None | $354.81 | $602.56 | $1,023.29 |
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 $125.89 Median $186.21 Typical High $208.93 | Professional | 52 · Reduced service | $125.89 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $74.13 Typical High $83.18 | Professional | 53 · Discontinued | $50.12 | $74.13 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $275.42 Typical High $316.23 | Professional | 54 · Surgery only | $186.21 | $275.42 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $56.23 Typical High $63.10 | Professional | 55 · Aftercare only | $37.15 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $37.15 Typical High $41.69 | Professional | 56 · Pre-op care only | $25.12 | $37.15 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $257.04 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $173.78 | $257.04 | $295.12 |
Where Nebraska sits
The same service costs 6.3 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 $6,296MT $1,002
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.