How much rates vary
Facilitymedian $2,089 · 10th to 90th $794 to $8,511Professionalmedian $646 · 10th to 90th $331 to $1,318
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 $489.78 Median $4,466.84 Typical High $11,481.54 | Facility | None | $489.78 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $489.78 Typical High $645.65 | Professional | None | $316.23 | $489.78 | $645.65 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,606.93 Median $8,912.51 Typical High $17,782.79 | Facility | None | $6,606.93 | $8,912.51 | $17,782.79 |
BCBS Nebraska Setting Professional Modifier None Typical Low $288.40 Median $512.86 Typical High $707.95 | Professional | None | $288.40 | $512.86 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,584.89 Typical High $2,570.40 | Facility | None | $954.99 | $1,584.89 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,047.13 Typical High $1,258.93 | Professional | None | $660.69 | $1,047.13 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $1,348.96 Typical High $7,943.28 | Facility | None | $602.56 | $1,348.96 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $1,288.25 Typical High $3,981.07 | Professional | None | $707.95 | $1,288.25 | $3,981.07 |
Midlands Setting Professional Modifier None Typical Low $776.25 Median $1,096.48 Typical High $1,318.26 | Professional | None | $776.25 | $1,096.48 | $1,318.26 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,905.46 Typical High $2,754.23 | Facility | None | $954.99 | $1,905.46 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $676.08 Median $1,071.52 Typical High $1,412.54 | Professional | None | $676.08 | $1,071.52 | $1,412.54 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $4,073.80 | Facility | None | $707.95 | $1,445.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $478.63 Median $794.33 Typical High $1,288.25 | Professional | None | $478.63 | $794.33 | $1,288.25 |
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 $158.49 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $158.49 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $64.57 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $239.88 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $47.86 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $48.98 Typical High $48.98 | Professional | 56 · Pre-op care only | $32.36 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $338.84 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $223.87 | $338.84 | $338.84 |
Where Nebraska sits
The same service costs 6.0 times more in Alabama than in Delaware. 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
AL $7,132DE $1,193
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.