How much rates vary
Facilitymedian $3,467 · 10th to 90th $794 to $8,511Professionalmedian $661 · 10th to 90th $417 to $2,138
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 $263.03 Median $263.03 Typical High $851.14 | Professional | None | $263.03 | $263.03 | $851.14 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,630.78 Median $4,897.79 Typical High $10,232.93 | Facility | None | $3,630.78 | $4,897.79 | $10,232.93 |
BCBS Nebraska Setting Professional Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,760.83 | Professional | None | $6,025.60 | $6,025.60 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $5,754.40 Typical High $7,943.28 | Facility | None | $870.96 | $5,754.40 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $812.83 | Professional | None | $501.19 | $676.08 | $812.83 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,122.02 Typical High $8,912.51 | Facility | None | $588.84 | $1,122.02 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $691.83 Typical High $2,137.96 | Professional | None | $416.87 | $691.83 | $2,137.96 |
Midlands Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $891.25 | Professional | None | $501.19 | $676.08 | $891.25 |
Midlands Setting Facility Modifier None Typical Low $831.76 Median $6,309.57 Typical High $10,715.19 | Facility | None | $831.76 | $6,309.57 | $10,715.19 |
Midlands Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $891.25 | Professional | None | $501.19 | $630.96 | $891.25 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $7,585.78 | Facility | None | $707.95 | $1,445.44 | $7,585.78 |
United Setting Professional Modifier None Typical Low $416.87 Median $630.96 Typical High $776.25 | Professional | None | $416.87 | $630.96 | $776.25 |
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 $131.83 Median $131.83 Typical High $162.18 | Professional | 52 · Reduced service | $131.83 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $64.57 | Professional | 53 · Discontinued | $52.48 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $194.98 Typical High $245.47 | Professional | 54 · Surgery only | $194.98 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $48.98 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $32.36 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $32.36 |
Where Nebraska sits
The same service costs 7.8 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 $7,005MT $893
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.