How much rates vary
Facilitymedian $2,291 · 10th to 90th $832 to $7,943Professionalmedian $1,148 · 10th to 90th $692 to $3,802
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 $467.74 Median $467.74 Typical High $1,479.11 | Professional | None | $467.74 | $467.74 | $1,479.11 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,630.78 Median $4,786.30 Typical High $9,772.37 | Facility | None | $3,630.78 | $4,786.30 | $9,772.37 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,995.26 Median $2,041.74 Typical High $2,238.72 | Professional | None | $1,995.26 | $2,041.74 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,584.89 Typical High $2,570.40 | Facility | None | $1,096.48 | $1,584.89 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,479.11 | Professional | None | $851.14 | $1,174.90 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $1,380.38 Typical High $7,943.28 | Facility | None | $707.95 | $1,380.38 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $1,202.26 Typical High $3,801.89 | Professional | None | $707.95 | $1,202.26 | $3,801.89 |
Midlands Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,548.82 | Professional | None | $870.96 | $1,174.90 | $1,548.82 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $1,905.46 Typical High $2,754.23 | Facility | None | $1,096.48 | $1,905.46 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,548.82 | Professional | None | $870.96 | $1,096.48 | $1,548.82 |
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 $707.95 Median $1,071.52 Typical High $1,348.96 | Professional | None | $707.95 | $1,071.52 | $1,348.96 |
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 $234.42 Median $234.42 Typical High $269.15 | Professional | 52 · Reduced service | $234.42 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | 53 · Discontinued | $93.33 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $398.11 | Professional | 54 · Surgery only | $346.74 | $346.74 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $79.43 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $53.70 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $371.54 |
Where Nebraska sits
The same service costs 3.9 times more in Colorado 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
CO $5,057DE $1,284
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.