How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,202 to $8,913Professionalmedian $1,445 · 10th to 90th $832 to $2,455
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 $1,380.38 Median $6,025.60 Typical High $11,481.54 | Facility | None | $1,380.38 | $6,025.60 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $1,230.27 Typical High $1,659.59 | Professional | None | $630.96 | $1,230.27 | $1,659.59 |
Ambetter Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,445.44 | Professional | None | $724.44 | $933.25 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,570.88 Median $6,165.95 Typical High $12,302.69 | Facility | None | $4,570.88 | $6,165.95 | $12,302.69 |
BCBS Nebraska Setting Professional Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $2,570.40 | Professional | None | $2,290.87 | $2,454.71 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,344.23 Typical High $2,884.03 | Facility | None | $1,096.48 | $2,344.23 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $1,659.59 | Professional | None | $1,258.93 | $1,513.56 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,398.83 Typical High $8,912.51 | Facility | None | $1,174.90 | $2,398.83 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,479.11 Typical High $5,754.40 | Professional | None | $831.76 | $1,479.11 | $5,754.40 |
Midlands Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,258.93 | $1,584.89 | $2,089.30 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $2,398.83 Typical High $3,019.95 | Facility | None | $1,096.48 | $2,398.83 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $2,137.96 | Professional | None | $1,174.90 | $1,584.89 | $2,137.96 |
Oscar Health Setting Facility Modifier None Typical Low $1,905.46 Median $3,388.44 Typical High $10,715.19 | Facility | None | $1,905.46 | $3,388.44 | $10,715.19 |
Oscar Health Setting Professional Modifier None Typical Low $660.69 Median $1,230.27 Typical High $1,513.56 | Professional | None | $660.69 | $1,230.27 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $6,309.57 | Facility | None | $1,288.25 | $2,238.72 | $6,309.57 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,380.38 Typical High $1,905.46 | Professional | None | $831.76 | $1,380.38 | $1,905.46 |
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 $316.23 Median $316.23 Typical High $537.03 | Professional | 52 · Reduced service | $316.23 | $316.23 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $213.80 | Professional | 53 · Discontinued | $125.89 | $125.89 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $812.83 | Professional | 54 · Surgery only | $478.63 | $478.63 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $162.18 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $107.15 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $758.58 |
Where Nebraska sits
The same service costs 3.6 times more in Wisconsin 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
WI $7,904MT $2,218
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.