How much rates vary
Facilitymedian $1,380 · 10th to 90th $646 to $4,266Professionalmedian $589 · 10th to 90th $339 to $1,259
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 $1,548.82 Median $4,365.16 Typical High $11,481.54 | Facility | None | $1,548.82 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $954.99 | Professional | None | $245.47 | $245.47 | $954.99 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $4,168.69 | Facility | None | $1,548.82 | $2,041.74 | $4,168.69 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,148.15 | Professional | None | $1,023.29 | $1,096.48 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $1,288.25 | Facility | None | $645.65 | $1,071.52 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $630.96 | Professional | None | $489.78 | $575.44 | $630.96 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,348.96 Typical High $3,981.07 | Facility | None | $588.84 | $1,348.96 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $630.96 Typical High $4,073.80 | Professional | None | $338.84 | $630.96 | $4,073.80 |
Midlands Setting Professional Modifier None Typical Low $446.68 Median $630.96 Typical High $794.33 | Professional | None | $446.68 | $630.96 | $794.33 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $1,380.38 | Facility | None | $645.65 | $1,071.52 | $1,380.38 |
Midlands Setting Professional Modifier None Typical Low $446.68 Median $562.34 Typical High $812.83 | Professional | None | $446.68 | $562.34 | $812.83 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $338.84 Median $549.54 Typical High $758.58 | Professional | None | $338.84 | $549.54 | $758.58 |
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 $123.03 Median $123.03 Typical High $213.80 | Professional | 52 · Reduced service | $123.03 | $123.03 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $85.11 | Professional | 53 · Discontinued | $48.98 | $48.98 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $316.23 | Professional | 54 · Surgery only | $186.21 | $186.21 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $63.10 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $42.66 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $42.66 |
Where Nebraska sits
The same service costs 6.0 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 $4,737MT $787
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.