How much rates vary
Facilitymedian $1,445 · 10th to 90th $708 to $5,495Professionalmedian $389 · 10th to 90th $178 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 $389.05 Median $2,344.23 Typical High $10,964.78 | Facility | None | $389.05 | $2,344.23 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $446.68 Typical High $1,096.48 | Professional | None | $177.83 | $446.68 | $1,096.48 |
Ambetter Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
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 $158.49 Median $288.40 Typical High $389.05 | Professional | None | $158.49 | $288.40 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,548.82 | Facility | None | $954.99 | $1,230.27 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $933.25 Typical High $1,148.15 | Professional | None | $389.05 | $933.25 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,288.25 Typical High $4,897.79 | Facility | None | $630.96 | $1,288.25 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,202.26 Typical High $3,630.78 | Professional | None | $676.08 | $1,202.26 | $3,630.78 |
Midlands Setting Professional Modifier None Typical Low $457.09 Median $1,047.13 Typical High $1,348.96 | Professional | None | $457.09 | $1,047.13 | $1,348.96 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,659.59 | Facility | None | $954.99 | $1,230.27 | $1,659.59 |
Midlands Setting Professional Modifier None Typical Low $389.05 Median $977.24 Typical High $1,348.96 | Professional | None | $389.05 | $977.24 | $1,348.96 |
Oscar Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $2,290.87 | Facility | None | $1,288.25 | $1,513.56 | $2,290.87 |
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 $281.84 Median $537.03 Typical High $1,174.90 | Professional | None | $281.84 | $537.03 | $1,174.90 |
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 $89.13 Median $162.18 Typical High $223.87 | Professional | 52 · Reduced service | $89.13 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $64.57 Typical High $89.13 | Professional | 53 · Discontinued | $35.48 | $64.57 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $245.47 Typical High $331.13 | Professional | 54 · Surgery only | $134.90 | $245.47 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $48.98 Typical High $66.07 | Professional | 55 · Aftercare only | $26.92 | $48.98 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $32.36 Typical High $44.67 | Professional | 56 · Pre-op care only | $17.78 | $32.36 | $44.67 |
Where Nebraska sits
The same service costs 4.1 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 $4,142MT $1,002
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.