How much rates vary
Facilitymedian $6,310 · 10th to 90th $1,514 to $26,915Professionalmedian $724 · 10th to 90th $380 to $7,943
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 $3,801.89 Typical High $11,481.54 | Facility | None | $1,548.82 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $954.99 Typical High $3,467.37 | Professional | None | $398.11 | $954.99 | $3,467.37 |
BCBS Nebraska Setting Facility Modifier None Typical Low $23,442.29 Median $30,902.95 Typical High $63,095.73 | Facility | None | $23,442.29 | $30,902.95 | $63,095.73 |
BCBS Nebraska Setting Professional Modifier None Typical Low $338.84 Median $602.56 Typical High $831.76 | Professional | None | $338.84 | $602.56 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $7,762.47 Typical High $15,488.17 | Facility | None | $645.65 | $7,762.47 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $3,311.31 Typical High $8,912.51 | Professional | None | $691.83 | $3,311.31 | $8,912.51 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $3,801.89 Typical High $15,488.17 | Facility | None | $1,445.44 | $3,801.89 | $15,488.17 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $4,677.35 Typical High $28,183.83 | Professional | None | $562.34 | $4,677.35 | $28,183.83 |
Midlands Setting Professional Modifier None Typical Low $812.83 Median $3,890.45 Typical High $12,022.64 | Professional | None | $812.83 | $3,890.45 | $12,022.64 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $9,332.54 Typical High $20,417.38 | Facility | None | $645.65 | $9,332.54 | $20,417.38 |
Midlands Setting Professional Modifier None Typical Low $724.44 Median $5,011.87 Typical High $12,022.64 | Professional | None | $724.44 | $5,011.87 | $12,022.64 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $9,772.37 | Facility | None | $1,698.24 | $3,801.89 | $9,772.37 |
United Setting Professional Modifier None Typical Low $436.52 Median $891.25 Typical High $5,754.40 | Professional | None | $436.52 | $891.25 | $5,754.40 |
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 $199.53 Median $354.81 Typical High $1,737.80 | Professional | 52 · Reduced service | $199.53 | $354.81 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $141.25 Typical High $691.83 | Professional | 53 · Discontinued | $79.43 | $141.25 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $524.81 Typical High $2,570.40 | Professional | 54 · Surgery only | $295.12 | $524.81 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $104.71 Typical High $512.86 | Professional | 55 · Aftercare only | $58.88 | $104.71 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $70.79 Typical High $346.74 | Professional | 56 · Pre-op care only | $39.81 | $70.79 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $489.78 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $275.42 | $489.78 | $2,398.83 |
Where Nebraska sits
The same service costs 18.4 times more in Alabama 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
AL $30,876MT $1,679
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.