How much rates vary
Facilitymedian $6,026 · 10th to 90th $2,188 to $18,621Professionalmedian $891 · 10th to 90th $427 to $15,849
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 $5,128.61 Median $10,964.78 Typical High $21,877.62 | Facility | None | $5,128.61 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $3,235.94 Typical High $12,589.25 | Professional | None | $416.87 | $3,235.94 | $12,589.25 |
BCBS Nebraska Setting Facility Modifier None Typical Low $12,882.50 Median $16,982.44 Typical High $34,673.69 | Facility | None | $12,882.50 | $16,982.44 | $34,673.69 |
BCBS Nebraska Setting Professional Modifier None Typical Low $371.54 Median $660.69 Typical High $891.25 | Professional | None | $371.54 | $660.69 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $5,754.40 Typical High $13,803.84 | Facility | None | $4,073.80 | $5,754.40 | $13,803.84 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $11,220.18 Typical High $15,488.17 | Professional | None | $912.01 | $11,220.18 | $15,488.17 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $3,801.89 Typical High $12,882.50 | Facility | None | $1,380.38 | $3,801.89 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $9,549.93 Median $15,848.93 Typical High $42,657.95 | Professional | None | $9,549.93 | $15,848.93 | $42,657.95 |
Midlands Setting Professional Modifier None Typical Low $1,071.52 Median $12,589.25 Typical High $15,488.17 | Professional | None | $1,071.52 | $12,589.25 | $15,488.17 |
Midlands Setting Facility Modifier None Typical Low $3,890.45 Median $10,715.19 Typical High $18,620.87 | Facility | None | $3,890.45 | $10,715.19 | $18,620.87 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $11,481.54 Typical High $16,595.87 | Professional | None | $891.25 | $11,481.54 | $16,595.87 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $9,772.37 | Facility | None | $1,698.24 | $3,801.89 | $9,772.37 |
United Setting Professional Modifier None Typical Low $660.69 Median $8,709.64 Typical High $16,982.44 | Professional | None | $660.69 | $8,709.64 | $16,982.44 |
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 $208.93 Median $660.69 Typical High $2,570.40 | Professional | 52 · Reduced service | $208.93 | $660.69 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $263.03 Typical High $1,023.29 | Professional | 53 · Discontinued | $83.18 | $263.03 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $977.24 Typical High $3,890.45 | Professional | 54 · Surgery only | $309.03 | $977.24 | $3,890.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $199.53 Typical High $776.25 | Professional | 55 · Aftercare only | $61.66 | $199.53 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $131.83 Typical High $512.86 | Professional | 56 · Pre-op care only | $41.69 | $131.83 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $912.01 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $288.40 | $912.01 | $3,630.78 |
Where Nebraska sits
The same service costs 4.1 times more in Iowa than in Delaware. 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
IA $18,453DE $4,539
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.