How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,259 to $12,023Professionalmedian $1,122 · 10th to 90th $562 to $2,455
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 $1,202.26 Median $5,754.40 Typical High $11,481.54 | Facility | None | $1,202.26 | $5,754.40 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $1,202.26 Typical High $2,290.87 | Professional | None | $562.34 | $1,202.26 | $2,290.87 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,511.38 Median $11,220.18 Typical High $22,908.68 | Facility | None | $8,511.38 | $11,220.18 | $22,908.68 |
BCBS Nebraska Setting Professional Modifier None Typical Low $489.78 Median $870.96 Typical High $1,202.26 | Professional | None | $489.78 | $870.96 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,818.38 Typical High $8,317.64 | Facility | None | $1,380.38 | $2,818.38 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,949.84 Typical High $2,398.83 | Professional | None | $1,148.15 | $1,949.84 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $2,398.83 Typical High $10,471.29 | Facility | None | $1,071.52 | $2,398.83 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,398.83 Typical High $7,585.78 | Professional | None | $1,258.93 | $2,398.83 | $7,585.78 |
Midlands Setting Professional Modifier None Typical Low $1,380.38 Median $2,089.30 Typical High $2,570.40 | Professional | None | $1,380.38 | $2,089.30 | $2,570.40 |
Midlands Setting Facility Modifier None Typical Low $1,380.38 Median $4,168.69 Typical High $8,709.64 | Facility | None | $1,380.38 | $4,168.69 | $8,709.64 |
Midlands Setting Professional Modifier None Typical Low $1,047.13 Median $1,819.70 Typical High $3,090.30 | Professional | None | $1,047.13 | $1,819.70 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,290.87 Typical High $8,912.51 | Facility | None | $1,288.25 | $2,290.87 | $8,912.51 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,445.44 Typical High $2,511.89 | Professional | None | $776.25 | $1,445.44 | $2,511.89 |
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 $281.84 Median $457.09 Typical High $478.63 | Professional | 52 · Reduced service | $281.84 | $457.09 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $186.21 Typical High $194.98 | Professional | 53 · Discontinued | $112.20 | $186.21 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $691.83 Typical High $724.44 | Professional | 54 · Surgery only | $416.87 | $691.83 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $138.04 Typical High $144.54 | Professional | 55 · Aftercare only | $83.18 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $93.33 Typical High $95.50 | Professional | 56 · Pre-op care only | $56.23 | $93.33 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $645.65 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $389.05 | $645.65 | $676.08 |
Where Nebraska sits
The same service costs 5.1 times more in Alaska than in West Virginia. 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 $10,217WV $2,002
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.