How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,230 to $11,482Professionalmedian $2,951 · 10th to 90th $1,585 to $4,266
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 $4,677.35 Median $7,943.28 Typical High $21,877.62 | Facility | None | $4,677.35 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $3,235.94 | Professional | None | $1,230.27 | $1,698.24 | $3,235.94 |
Ambetter Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,760.83 Median $8,912.51 Typical High $18,197.01 | Facility | None | $6,760.83 | $8,912.51 | $18,197.01 |
BCBS Nebraska Setting Professional Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $3,311.31 | Professional | None | $2,137.96 | $2,951.21 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $5,495.41 Median $6,456.54 Typical High $6,760.83 | Facility | None | $5,495.41 | $6,456.54 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $3,162.28 | Professional | None | $2,454.71 | $2,884.03 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,137.96 Typical High $7,943.28 | Facility | None | $1,202.26 | $2,137.96 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $1,584.89 Median $3,019.95 Typical High $9,772.37 | Professional | None | $1,584.89 | $3,019.95 | $9,772.37 |
Midlands Setting Professional Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $3,981.07 | Professional | None | $2,454.71 | $3,019.95 | $3,981.07 |
Midlands Setting Facility Modifier None Typical Low $5,495.41 Median $6,456.54 Typical High $9,549.93 | Facility | None | $5,495.41 | $6,456.54 | $9,549.93 |
Midlands Setting Professional Modifier None Typical Low $2,238.72 Median $3,090.30 Typical High $4,265.80 | Professional | None | $2,238.72 | $3,090.30 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $8,128.31 | Facility | None | $1,174.90 | $1,949.84 | $8,128.31 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,630.27 Typical High $3,630.78 | Professional | None | $1,584.89 | $2,630.27 | $3,630.78 |
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 $616.60 Median $616.60 Typical High $1,071.52 | Professional | 52 · Reduced service | $616.60 | $616.60 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $436.52 | Professional | 53 · Discontinued | $245.47 | $245.47 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $1,621.81 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $323.59 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $218.78 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $1,513.56 |
Where Nebraska sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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
AK $13,567KY $2,794
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.