How much rates vary
Facilitymedian $2,291 · 10th to 90th $955 to $7,244Professionalmedian $347 · 10th to 90th $178 to $1,778
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 $2,344.23 Typical High $10,964.78 | Facility | None | $398.11 | $2,344.23 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $691.83 Typical High $1,819.70 | Professional | None | $186.21 | $691.83 | $1,819.70 |
Ambetter Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,981.07 Median $5,248.07 Typical High $10,715.19 | Facility | None | $3,981.07 | $5,248.07 | $10,715.19 |
BCBS Nebraska Setting Professional Modifier None Typical Low $162.18 Median $288.40 Typical High $398.11 | Professional | None | $162.18 | $288.40 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,659.59 Typical High $3,019.95 | Facility | None | $954.99 | $1,659.59 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $1,445.44 Typical High $1,778.28 | Professional | None | $436.52 | $1,445.44 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,819.70 Typical High $8,912.51 | Facility | None | $851.14 | $1,819.70 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,737.80 Typical High $8,317.64 | Professional | None | $977.24 | $1,737.80 | $8,317.64 |
Midlands Setting Professional Modifier None Typical Low $457.09 Median $1,513.56 Typical High $1,905.46 | Professional | None | $457.09 | $1,513.56 | $1,905.46 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $2,187.76 Typical High $3,162.28 | Facility | None | $954.99 | $2,187.76 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $389.05 Median $1,412.54 Typical High $1,621.81 | Professional | None | $389.05 | $1,412.54 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,623.41 | Facility | None | $1,174.90 | $1,862.09 | $5,623.41 |
United Setting Professional Modifier None Typical Low $295.12 Median $977.24 Typical High $1,862.09 | Professional | None | $295.12 | $977.24 | $1,862.09 |
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 $93.33 Median $93.33 Typical High $346.74 | Professional | 52 · Reduced service | $93.33 | $93.33 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $138.04 | Professional | 53 · Discontinued | $37.15 | $37.15 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $141.25 Typical High $512.86 | Professional | 54 · Surgery only | $141.25 | $141.25 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $102.33 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $69.18 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $69.18 |
Where Nebraska sits
The same service costs 3.8 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 $5,124MT $1,344
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.