How much rates vary
Facilitymedian $1,413 · 10th to 90th $646 to $6,166Professionalmedian $398 · 10th to 90th $245 to $1,905
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 $1,548.82 Median $4,365.16 Typical High $11,481.54 | Facility | None | $1,548.82 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $407.38 | Professional | None | $154.88 | $169.82 | $407.38 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $7,413.10 | Facility | None | $2,691.53 | $3,630.78 | $7,413.10 |
BCBS Nebraska Setting Professional Modifier None Typical Low $912.01 Median $933.25 Typical High $1,047.13 | Professional | None | $912.01 | $933.25 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $933.25 Typical High $1,174.90 | Facility | None | $645.65 | $933.25 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $478.63 | Professional | None | $302.00 | $398.11 | $478.63 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,348.96 Typical High $3,630.78 | Facility | None | $588.84 | $1,348.96 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $407.38 Typical High $1,995.26 | Professional | None | $245.47 | $407.38 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $524.81 | Professional | None | $302.00 | $398.11 | $524.81 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $933.25 Typical High $1,202.26 | Facility | None | $645.65 | $933.25 | $1,202.26 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $524.81 | Professional | None | $302.00 | $371.54 | $524.81 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $512.86 | Professional | None | $245.47 | $371.54 | $512.86 |
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 $77.62 Median $77.62 Typical High $102.33 | Professional | 52 · Reduced service | $77.62 | $77.62 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $40.74 | Professional | 53 · Discontinued | $30.90 | $30.90 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $151.36 | Professional | 54 · Surgery only | $114.82 | $114.82 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $30.90 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $20.42 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $20.42 |
Where Nebraska sits
The same service costs 7.7 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 $4,047MT $526
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.