How much rates vary
Facilitymedian $6,310 · 10th to 90th $1,288 to $17,378Professionalmedian $1,380 · 10th to 90th $759 to $4,571
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 $1,230.27 Median $7,079.46 Typical High $12,589.25 | Facility | None | $1,230.27 | $7,079.46 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,288.25 | Professional | None | $575.44 | $575.44 | $1,288.25 |
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 $12,302.69 Median $13,182.57 Typical High $13,803.84 | Professional | None | $12,302.69 | $13,182.57 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $11,220.18 Typical High $16,595.87 | Facility | None | $1,288.25 | $11,220.18 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,479.11 | Professional | None | $1,148.15 | $1,348.96 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $26,302.68 | Facility | None | $1,445.44 | $3,715.35 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,412.54 Typical High $4,570.88 | Professional | None | $758.58 | $1,412.54 | $4,570.88 |
Midlands Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $1,862.09 | Professional | None | $1,148.15 | $1,412.54 | $1,862.09 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $12,882.50 Typical High $17,782.79 | Facility | None | $1,288.25 | $12,882.50 | $17,782.79 |
Midlands Setting Professional Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $1,862.09 | Professional | None | $1,047.13 | $1,445.44 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $9,772.37 | Facility | None | $1,698.24 | $3,801.89 | $9,772.37 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,258.93 Typical High $1,698.24 | Professional | None | $758.58 | $1,258.93 | $1,698.24 |
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 $288.40 Median $288.40 Typical High $478.63 | Professional | 52 · Reduced service | $288.40 | $288.40 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $194.98 | Professional | 53 · Discontinued | $114.82 | $114.82 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $724.44 | Professional | 54 · Surgery only | $426.58 | $426.58 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $144.54 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $97.72 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $676.08 |
Where Nebraska sits
The same service costs 10.1 times more in Alaska 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
AK $19,890MT $1,977
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.