How much rates vary
Facilitymedian $7,079 · 10th to 90th $1,549 to $19,055Professionalmedian $2,188 · 10th to 90th $1,202 to $7,244
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 $5,011.87 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,011.87 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,548.82 | Professional | None | $912.01 | $912.01 | $1,548.82 |
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 $15,488.17 Median $16,595.87 Typical High $17,782.79 | Professional | None | $15,488.17 | $16,595.87 | $17,782.79 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $11,748.98 Typical High $18,620.87 | Facility | None | $1,288.25 | $11,748.98 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,137.96 Typical High $2,344.23 | Professional | None | $1,778.28 | $2,137.96 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $33,884.42 | Facility | None | $1,513.56 | $3,715.35 | $33,884.42 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $2,238.72 Typical High $7,244.36 | Professional | None | $1,202.26 | $2,238.72 | $7,244.36 |
Midlands Setting Professional Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $2,951.21 | Professional | None | $1,778.28 | $2,238.72 | $2,951.21 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $14,125.38 Typical High $19,054.61 | Facility | None | $1,288.25 | $14,125.38 | $19,054.61 |
Midlands Setting Professional Modifier None Typical Low $1,659.59 Median $2,238.72 Typical High $3,090.30 | Professional | None | $1,659.59 | $2,238.72 | $3,090.30 |
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 $1,202.26 Median $1,995.26 Typical High $2,691.53 | Professional | None | $1,202.26 | $1,995.26 | $2,691.53 |
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 $457.09 Median $457.09 Typical High $776.25 | Professional | 52 · Reduced service | $457.09 | $457.09 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $309.03 | Professional | 53 · Discontinued | $181.97 | $181.97 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $1,148.15 | Professional | 54 · Surgery only | $676.08 | $676.08 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $229.09 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $154.88 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $1,071.52 |
Where Nebraska sits
The same service costs 8.0 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 $25,453MT $3,170
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.