How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,288 to $12,023Professionalmedian $1,259 · 10th to 90th $676 to $4,266
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 $1,148.15 Median $7,079.46 Typical High $12,589.25 | Facility | None | $1,148.15 | $7,079.46 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $954.99 Typical High $1,380.38 | Professional | None | $524.81 | $954.99 | $1,380.38 |
Ambetter Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,023.29 | Professional | None | $794.33 | $794.33 | $1,023.29 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,317.64 Median $10,964.78 Typical High $22,387.21 | Facility | None | $8,317.64 | $10,964.78 | $22,387.21 |
BCBS Nebraska Setting Professional Modifier None Typical Low $6,456.54 Median $6,918.31 Typical High $7,413.10 | Professional | None | $6,456.54 | $6,918.31 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $5,370.32 Typical High $8,317.64 | Facility | None | $1,288.25 | $5,370.32 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,380.38 | Professional | None | $1,071.52 | $1,258.93 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $3,630.78 Typical High $25,703.96 | Facility | None | $1,445.44 | $3,630.78 | $25,703.96 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,288.25 Typical High $4,265.80 | Professional | None | $676.08 | $1,288.25 | $4,265.80 |
Midlands Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,659.59 | Professional | None | $1,071.52 | $1,258.93 | $1,659.59 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $5,623.41 Typical High $8,709.64 | Facility | None | $1,288.25 | $5,623.41 | $8,709.64 |
Midlands Setting Professional Modifier None Typical Low $977.24 Median $1,348.96 Typical High $1,737.80 | Professional | None | $977.24 | $1,348.96 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $8,912.51 | Facility | None | $1,698.24 | $3,801.89 | $8,912.51 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,122.02 Typical High $1,479.11 | Professional | None | $676.08 | $1,122.02 | $1,479.11 |
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 $263.03 Median $263.03 Typical High $446.68 | Professional | 52 · Reduced service | $263.03 | $263.03 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $177.83 | Professional | 53 · Discontinued | $104.71 | $104.71 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $660.69 | Professional | 54 · Surgery only | $398.11 | $398.11 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $131.83 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $89.13 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $371.54 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $371.54 | $371.54 | $616.60 |
Where Nebraska sits
The same service costs 7.5 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 $13,659MT $1,825
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.