How much rates vary
Facilitymedian $5,754 · 10th to 90th $1,549 to $11,749Professionalmedian $1,698 · 10th to 90th $955 to $5,754
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 $1,548.82 Median $7,079.46 Typical High $12,589.25 | Facility | None | $1,548.82 | $7,079.46 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,445.44 | Professional | None | $707.95 | $707.95 | $1,445.44 |
Ambetter Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $1,380.38 | Professional | None | $186.21 | $186.21 | $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 $6,918.31 Median $7,413.10 Typical High $8,128.31 | Professional | None | $6,918.31 | $7,413.10 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $6,456.54 Typical High $8,912.51 | Facility | None | $1,288.25 | $6,456.54 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,698.24 Typical High $1,862.09 | Professional | None | $1,412.54 | $1,698.24 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $26,915.35 | Facility | None | $1,513.56 | $3,715.35 | $26,915.35 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,778.28 Typical High $5,754.40 | Professional | None | $954.99 | $1,778.28 | $5,754.40 |
Midlands Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $2,344.23 | Professional | None | $1,412.54 | $1,778.28 | $2,344.23 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $6,918.31 Typical High $9,549.93 | Facility | None | $1,288.25 | $6,918.31 | $9,549.93 |
Midlands Setting Professional Modifier None Typical Low $1,318.26 Median $1,778.28 Typical High $2,398.83 | Professional | None | $1,318.26 | $1,778.28 | $2,398.83 |
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 $954.99 Median $1,548.82 Typical High $2,137.96 | Professional | None | $954.99 | $1,548.82 | $2,137.96 |
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 $354.81 Median $354.81 Typical High $602.56 | Professional | 52 · Reduced service | $354.81 | $354.81 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $245.47 | Professional | 53 · Discontinued | $144.54 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $912.01 | Professional | 54 · Surgery only | $537.03 | $537.03 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $181.97 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $123.03 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $851.14 |
Where Nebraska sits
The same service costs 5.9 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 $14,644MT $2,489
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.