How much rates vary
Facilitymedian $3,236 · 10th to 90th $537 to $11,482Professionalmedian $6,026 · 10th to 90th $3,388 to $21,380
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 $2,454.71 Median $7,943.28 Typical High $21,877.62 | Facility | None | $2,454.71 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,090.30 | Professional | None | $2,454.71 | $2,454.71 | $3,090.30 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,456.54 Median $8,709.64 Typical High $17,782.79 | Facility | None | $6,456.54 | $8,709.64 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $4,570.88 Median $6,309.57 Typical High $7,585.78 | Professional | None | $4,570.88 | $6,309.57 | $7,585.78 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $977.24 Typical High $5,888.44 | Facility | None | $478.63 | $977.24 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $3,890.45 Median $6,456.54 Typical High $21,379.62 | Professional | None | $3,890.45 | $6,456.54 | $21,379.62 |
Midlands Setting Professional Modifier None Typical Low $4,897.79 Median $6,309.57 Typical High $8,317.64 | Professional | None | $4,897.79 | $6,309.57 | $8,317.64 |
Midlands Setting Professional Modifier None Typical Low $4,897.79 Median $6,025.60 Typical High $8,317.64 | Professional | None | $4,897.79 | $6,025.60 | $8,317.64 |
United Setting Facility Modifier None Typical Low $489.78 Median $891.25 Typical High $3,801.89 | Facility | None | $489.78 | $891.25 | $3,801.89 |
United Setting Professional Modifier None Typical Low $3,890.45 Median $5,623.41 Typical High $7,244.36 | Professional | None | $3,890.45 | $5,623.41 | $7,244.36 |
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 $1,230.27 Median $1,230.27 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,230.27 | $1,230.27 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $575.44 | Professional | 53 · Discontinued | $489.78 | $489.78 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $1,862.09 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,862.09 | $1,862.09 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $426.58 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $281.84 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,737.80 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,737.80 | $1,737.80 | $1,995.26 |
Where Nebraska sits
The same service costs 7.7 times more in Alaska than in Texas. 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
AK $21,573TX $2,816
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.