How much rates vary
Facilitymedian $3,467 · 10th to 90th $851 to $12,589Professionalmedian $562 · 10th to 90th $309 to $1,023
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 $398.11 Median $3,801.89 Typical High $11,481.54 | Facility | None | $398.11 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $1,071.52 | Professional | None | $323.59 | $398.11 | $1,071.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $10,000.00 Median $13,182.57 Typical High $26,915.35 | Facility | None | $10,000.00 | $13,182.57 | $26,915.35 |
BCBS Nebraska Setting Professional Modifier None Typical Low $281.84 Median $501.19 Typical High $691.83 | Professional | None | $281.84 | $501.19 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,951.21 Typical High $4,786.30 | Facility | None | $645.65 | $2,951.21 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $1,071.52 | Professional | None | $758.58 | $870.96 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,819.70 Typical High $8,511.38 | Facility | None | $794.33 | $1,819.70 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $1,000.00 Typical High $6,165.95 | Professional | None | $575.44 | $1,000.00 | $6,165.95 |
Midlands Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,096.48 | Professional | None | $776.25 | $954.99 | $1,096.48 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $3,548.13 Typical High $5,011.87 | Facility | None | $645.65 | $3,548.13 | $5,011.87 |
Midlands Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $954.99 | Professional | None | $676.08 | $831.76 | $954.99 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $6,606.93 | Facility | None | $1,174.90 | $1,862.09 | $6,606.93 |
United Setting Professional Modifier None Typical Low $512.86 Median $794.33 Typical High $1,071.52 | Professional | None | $512.86 | $794.33 | $1,071.52 |
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 $162.18 Median $162.18 Typical High $199.53 | Professional | 52 · Reduced service | $162.18 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $79.43 | Professional | 53 · Discontinued | $64.57 | $64.57 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $302.00 | Professional | 54 · Surgery only | $245.47 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $60.26 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $39.81 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $39.81 |
Where Nebraska sits
The same service costs 6.3 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 $7,350MT $1,166
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.