How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,698 to $16,218Professionalmedian $2,818 · 10th to 90th $1,778 to $5,370
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 $1,122.02 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,122.02 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,584.89 | Professional | None | $1,122.02 | $1,122.02 | $1,584.89 |
Ambetter Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
BCBS Nebraska Setting Facility Modifier None Typical Low $11,481.54 Median $15,135.61 Typical High $30,902.95 | Facility | None | $11,481.54 | $15,135.61 | $30,902.95 |
BCBS Nebraska Setting Professional Modifier None Typical Low $3,467.37 Median $5,011.87 Typical High $5,128.61 | Professional | None | $3,467.37 | $5,011.87 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $3,467.37 | Professional | None | $2,089.30 | $2,884.03 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,090.30 Typical High $8,128.31 | Facility | None | $1,513.56 | $3,090.30 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $2,884.03 Typical High $9,332.54 | Professional | None | $1,778.28 | $2,884.03 | $9,332.54 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $3,801.89 | Professional | None | $2,290.87 | $2,884.03 | $3,801.89 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $3,801.89 | Professional | None | $2,290.87 | $2,818.38 | $3,801.89 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $8,317.64 | Facility | None | $1,698.24 | $3,801.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,570.40 Typical High $3,311.31 | Professional | None | $1,778.28 | $2,570.40 | $3,311.31 |
2 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 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $1,023.29 | Professional | 54 · Surgery only | $851.14 | $851.14 | $1,023.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $954.99 |
Where Nebraska sits
The same service costs 14.3 times more in Maine 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
ME $48,433DE $3,397
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.