How much rates vary
Facilitymedian $1,445 · 10th to 90th $631 to $4,898Professionalmedian $141 · 10th to 90th $66 to $1,413
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 $138.04 Median $1,548.82 Typical High $10,964.78 | Facility | None | $138.04 | $1,548.82 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $512.86 Typical High $1,348.96 | Professional | None | $64.57 | $512.86 | $1,348.96 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $6,165.95 | Facility | None | $2,290.87 | $3,019.95 | $6,165.95 |
BCBS Nebraska Setting Professional Modifier None Typical Low $57.54 Median $102.33 Typical High $141.25 | Professional | None | $57.54 | $102.33 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $1,548.82 | Facility | None | $1,000.00 | $1,318.26 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $1,096.48 Typical High $1,318.26 | Professional | None | $151.36 | $1,096.48 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,096.48 Typical High $3,715.35 | Facility | None | $588.84 | $1,096.48 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,445.44 Typical High $4,265.80 | Professional | None | $831.76 | $1,445.44 | $4,265.80 |
Midlands Setting Professional Modifier None Typical Low $169.82 Median $1,258.93 Typical High $1,380.38 | Professional | None | $169.82 | $1,258.93 | $1,380.38 |
Midlands Setting Facility Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $1,659.59 | Facility | None | $1,000.00 | $1,348.96 | $1,659.59 |
Midlands Setting Professional Modifier None Typical Low $138.04 Median $1,096.48 Typical High $1,659.59 | Professional | None | $138.04 | $1,096.48 | $1,659.59 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,235.94 | Facility | None | $707.95 | $1,445.44 | $3,235.94 |
United Setting Professional Modifier None Typical Low $104.71 Median $741.31 Typical High $1,479.11 | Professional | None | $104.71 | $741.31 | $1,479.11 |
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 $32.36 Median $104.71 Typical High $257.04 | Professional | 52 · Reduced service | $32.36 | $104.71 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $41.69 Typical High $102.33 | Professional | 53 · Discontinued | $12.88 | $41.69 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $154.88 Typical High $380.19 | Professional | 54 · Surgery only | $47.86 | $154.88 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $30.90 Typical High $75.86 | Professional | 55 · Aftercare only | $9.55 | $30.90 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $20.89 Typical High $51.29 | Professional | 56 · Pre-op care only | $6.46 | $20.89 | $51.29 |
Where Nebraska sits
The same service costs 5.6 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 $4,728MT $843
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.