How much rates vary
Facilitymedian $2,239 · 10th to 90th $977 to $7,244Professionalmedian $363 · 10th to 90th $174 to $1,479
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 $501.19 Median $3,801.89 Typical High $11,481.54 | Facility | None | $501.19 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $501.19 Typical High $1,318.26 | Professional | None | $169.82 | $501.19 | $1,318.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,168.69 Median $5,495.41 Typical High $11,220.18 | Facility | None | $4,168.69 | $5,495.41 | $11,220.18 |
BCBS Nebraska Setting Professional Modifier None Typical Low $151.36 Median $269.15 Typical High $363.08 | Professional | None | $151.36 | $269.15 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,041.74 Typical High $2,511.89 | Facility | None | $645.65 | $2,041.74 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $1,071.52 Typical High $1,318.26 | Professional | None | $398.11 | $1,071.52 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,819.70 Typical High $7,943.28 | Facility | None | $851.14 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,412.54 Typical High $4,073.80 | Professional | None | $758.58 | $1,412.54 | $4,073.80 |
Midlands Setting Professional Modifier None Typical Low $416.87 Median $1,202.26 Typical High $1,548.82 | Professional | None | $416.87 | $1,202.26 | $1,548.82 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $2,089.30 Typical High $2,630.27 | Facility | None | $645.65 | $2,089.30 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $354.81 Median $1,122.02 Typical High $1,548.82 | Professional | None | $354.81 | $1,122.02 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,174.90 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $257.04 Median $676.08 Typical High $1,348.96 | Professional | None | $257.04 | $676.08 | $1,348.96 |
7 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 $234.42 Typical High $251.19 | Professional | 52 · Reduced service | $83.18 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $93.33 Typical High $100.00 | Professional | 53 · Discontinued | $33.88 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $346.74 Typical High $380.19 | Professional | 54 · Surgery only | $125.89 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $69.18 Typical High $75.86 | Professional | 55 · Aftercare only | $25.12 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $46.77 Typical High $50.12 | Professional | 56 · Pre-op care only | $16.98 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $323.59 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $117.49 | $323.59 | $354.81 |
Ambetter Setting Professional Modifier 22 · Increased work Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 22 · Increased work | $125.89 | $125.89 | $125.89 |
Where Nebraska sits
The same service costs 4.4 times more in Colorado than in North Dakota. 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 $4,844ND $1,099
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.