How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,514 to $11,482Professionalmedian $1,230 · 10th to 90th $661 to $5,248
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 $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $1,380.38 | Professional | None | $501.19 | $501.19 | $1,380.38 |
BCBS Nebraska Setting Facility Modifier None Typical Low $7,943.28 Median $10,715.19 Typical High $21,379.62 | Facility | None | $7,943.28 | $10,715.19 | $21,379.62 |
BCBS Nebraska Setting Professional Modifier None Typical Low $5,011.87 Median $5,370.32 Typical High $5,754.40 | Professional | None | $5,011.87 | $5,370.32 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $4,786.30 Typical High $6,456.54 | Facility | None | $1,096.48 | $4,786.30 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,318.26 | Professional | None | $1,000.00 | $1,202.26 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $19,952.62 | Facility | None | $1,445.44 | $3,715.35 | $19,952.62 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,230.27 Typical High $5,248.07 | Professional | None | $660.69 | $1,230.27 | $5,248.07 |
Midlands Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,621.81 | Professional | None | $1,000.00 | $1,230.27 | $1,621.81 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $5,128.61 Typical High $6,760.83 | Facility | None | $1,096.48 | $5,128.61 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $933.25 Median $1,258.93 Typical High $1,698.24 | Professional | None | $933.25 | $1,258.93 | $1,698.24 |
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 $660.69 Median $1,096.48 Typical High $1,479.11 | Professional | None | $660.69 | $1,096.48 | $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 $251.19 Median $251.19 Typical High $426.58 | Professional | 52 · Reduced service | $251.19 | $251.19 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $169.82 | Professional | 53 · Discontinued | $100.00 | $100.00 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $645.65 | Professional | 54 · Surgery only | $380.19 | $380.19 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $128.82 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $85.11 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $602.56 |
Where Nebraska sits
The same service costs 7.9 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 $13,941MT $1,762
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.