How much rates vary
Facilitymedian $1,514 · 10th to 90th $794 to $7,586Professionalmedian $417 · 10th to 90th $263 to $2,455
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 $1,659.59 Median $5,011.87 Typical High $11,481.54 | Facility | None | $1,659.59 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $1,445.44 | Professional | None | $165.96 | $165.96 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,786.30 Median $6,309.57 Typical High $12,882.50 | Facility | None | $4,786.30 | $6,309.57 | $12,882.50 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,258.93 | $1,288.25 | $1,412.54 |
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 $323.59 Median $426.58 Typical High $512.86 | Professional | None | $323.59 | $426.58 | $512.86 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,348.96 Typical High $4,897.79 | Facility | None | $588.84 | $1,348.96 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $426.58 Typical High $2,454.71 | Professional | None | $263.03 | $426.58 | $2,454.71 |
Midlands Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $562.34 | Professional | None | $323.59 | $426.58 | $562.34 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,258.93 Typical High $1,659.59 | Facility | None | $954.99 | $1,258.93 | $1,659.59 |
Midlands Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $562.34 | Professional | None | $323.59 | $398.11 | $562.34 |
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 $263.03 Median $389.05 Typical High $489.78 | Professional | None | $263.03 | $389.05 | $489.78 |
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 $83.18 Median $83.18 Typical High $93.33 | Professional | 52 · Reduced service | $83.18 | $83.18 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $38.02 | Professional | 53 · Discontinued | $33.11 | $33.11 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $123.03 Typical High $141.25 | Professional | 54 · Surgery only | $123.03 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $28.18 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $19.05 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $19.05 |
Where Nebraska sits
The same service costs 7.3 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 $4,136MT $564
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.