How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,072 to $9,550Professionalmedian $741 · 10th to 90th $380 to $1,549
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 $831.76 Median $5,011.87 Typical High $11,481.54 | Facility | None | $831.76 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $562.34 Typical High $724.44 | Professional | None | $380.19 | $562.34 | $724.44 |
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 $338.84 Median $602.56 Typical High $831.76 | Professional | None | $338.84 | $602.56 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $6,456.54 | Facility | None | $1,288.25 | $4,168.69 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,202.26 Typical High $1,445.44 | Professional | None | $794.33 | $1,202.26 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,819.70 Typical High $10,471.29 | Facility | None | $851.14 | $1,819.70 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $1,445.44 Typical High $4,570.88 | Professional | None | $741.31 | $1,445.44 | $4,570.88 |
Midlands Setting Professional Modifier None Typical Low $933.25 Median $1,258.93 Typical High $1,548.82 | Professional | None | $933.25 | $1,258.93 | $1,548.82 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $5,128.61 Typical High $6,760.83 | Facility | None | $1,288.25 | $5,128.61 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $707.95 Median $1,258.93 Typical High $1,862.09 | Professional | None | $707.95 | $1,258.93 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $8,128.31 | Facility | None | $1,174.90 | $1,862.09 | $8,128.31 |
United Setting Professional Modifier None Typical Low $537.03 Median $912.01 Typical High $1,513.56 | Professional | None | $537.03 | $912.01 | $1,513.56 |
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 $190.55 Median $275.42 Typical High $323.59 | Professional | 52 · Reduced service | $190.55 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $112.20 Typical High $128.82 | Professional | 53 · Discontinued | $75.86 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $416.87 Typical High $478.63 | Professional | 54 · Surgery only | $281.84 | $416.87 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $83.18 Typical High $95.50 | Professional | 55 · Aftercare only | $57.54 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $56.23 Typical High $64.57 | Professional | 56 · Pre-op care only | $38.02 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $389.05 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $263.03 | $389.05 | $446.68 |
Where Nebraska sits
The same service costs 6.5 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 $9,949MT $1,532
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.