How much rates vary
Facilitymedian $3,236 · 10th to 90th $537 to $11,482Professionalmedian $4,677 · 10th to 90th $2,630 to $15,488
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 $1,862.09 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,862.09 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,862.09 | $1,862.09 | $2,511.89 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,165.95 Median $8,128.31 Typical High $16,595.87 | Facility | None | $6,165.95 | $8,128.31 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $4,786.30 Typical High $5,888.44 | Professional | None | $3,467.37 | $4,786.30 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $977.24 Typical High $4,466.84 | Facility | None | $478.63 | $977.24 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $2,951.21 Median $4,897.79 Typical High $15,488.17 | Professional | None | $2,951.21 | $4,897.79 | $15,488.17 |
Midlands Setting Professional Modifier None Typical Low $3,801.89 Median $4,786.30 Typical High $6,309.57 | Professional | None | $3,801.89 | $4,786.30 | $6,309.57 |
Midlands Setting Professional Modifier None Typical Low $3,801.89 Median $4,677.35 Typical High $6,309.57 | Professional | None | $3,801.89 | $4,677.35 | $6,309.57 |
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 $2,951.21 Median $4,265.80 Typical High $5,495.41 | Professional | None | $2,951.21 | $4,265.80 | $5,495.41 |
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 $933.25 Median $933.25 Typical High $1,122.02 | Professional | 52 · Reduced service | $933.25 | $933.25 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $457.09 | Professional | 53 · Discontinued | $380.19 | $380.19 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,412.54 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,412.54 | $1,412.54 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $338.84 | Professional | 55 · Aftercare only | $281.84 | $281.84 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,318.26 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,318.26 | $1,584.89 |
Where Nebraska sits
The same service costs 7.6 times more in Maine 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
ME $18,667TX $2,469
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.