How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,413 to $11,220Professionalmedian $1,445 · 10th to 90th $832 to $4,677
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 $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,513.56 | Professional | None | $575.44 | $575.44 | $1,513.56 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,456.54 Median $8,709.64 Typical High $17,782.79 | Facility | None | $6,456.54 | $8,709.64 | $17,782.79 |
BCBS Nebraska Setting Professional Modifier None Typical Low $3,235.94 Median $3,467.37 Typical High $3,890.45 | Professional | None | $3,235.94 | $3,467.37 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $5,248.07 Typical High $5,623.41 | Facility | None | $4,570.88 | $5,248.07 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $1,778.28 | Professional | None | $1,047.13 | $1,445.44 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,951.21 Typical High $10,232.93 | Facility | None | $1,258.93 | $2,951.21 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,479.11 Typical High $4,677.35 | Professional | None | $891.25 | $1,479.11 | $4,677.35 |
Midlands Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $1,905.46 | Professional | None | $1,174.90 | $1,445.44 | $1,905.46 |
Midlands Setting Facility Modifier None Typical Low $4,570.88 Median $5,248.07 Typical High $7,762.47 | Facility | None | $4,570.88 | $5,248.07 | $7,762.47 |
Midlands Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $1,905.46 | Professional | None | $1,174.90 | $1,445.44 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $7,585.78 | Facility | None | $1,380.38 | $3,019.95 | $7,585.78 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,288.25 Typical High $1,659.59 | Professional | None | $891.25 | $1,288.25 | $1,659.59 |
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 $288.40 Median $288.40 Typical High $338.84 | Professional | 52 · Reduced service | $288.40 | $288.40 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | 53 · Discontinued | $114.82 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $512.86 | Professional | 54 · Surgery only | $426.58 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $478.63 |
Where Nebraska sits
The same service costs 5.4 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 $11,084MT $2,070
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.