How much rates vary
Facilitymedian $1,479 · 10th to 90th $676 to $6,166Professionalmedian $251 · 10th to 90th $123 to $1,023
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 $346.74 Median $3,801.89 Typical High $11,481.54 | Facility | None | $346.74 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $346.74 Typical High $457.09 | Professional | None | $117.49 | $346.74 | $457.09 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,162.28 Median $4,168.69 Typical High $8,511.38 | Facility | None | $3,162.28 | $4,168.69 | $8,511.38 |
BCBS Nebraska Setting Professional Modifier None Typical Low $104.71 Median $186.21 Typical High $257.04 | Professional | None | $104.71 | $186.21 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,202.26 Typical High $1,548.82 | Facility | None | $645.65 | $1,202.26 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $724.44 Typical High $912.01 | Professional | None | $281.84 | $724.44 | $912.01 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,122.02 Typical High $4,897.79 | Facility | None | $588.84 | $1,122.02 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $933.25 Typical High $2,818.38 | Professional | None | $501.19 | $933.25 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $758.58 Typical High $1,023.29 | Professional | None | $302.00 | $758.58 | $1,023.29 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $1,230.27 Typical High $1,659.59 | Facility | None | $645.65 | $1,230.27 | $1,659.59 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $758.58 Typical High $1,023.29 | Professional | None | $257.04 | $758.58 | $1,023.29 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,235.94 | Facility | None | $707.95 | $1,445.44 | $3,235.94 |
United Setting Professional Modifier None Typical Low $186.21 Median $398.11 Typical High $933.25 | Professional | None | $186.21 | $398.11 | $933.25 |
5 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 $58.88 Median $107.15 Typical High $173.78 | Professional | 52 · Reduced service | $58.88 | $107.15 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $43.65 Typical High $69.18 | Professional | 53 · Discontinued | $23.44 | $43.65 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $162.18 Typical High $257.04 | Professional | 54 · Surgery only | $89.13 | $162.18 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $32.36 Typical High $51.29 | Professional | 55 · Aftercare only | $17.78 | $32.36 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $21.38 Typical High $34.67 | Professional | 56 · Pre-op care only | $11.75 | $21.38 | $34.67 |
Where Nebraska sits
The same service costs 5.7 times more in Colorado 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
CO $4,090MT $722
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.