How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,905 to $19,953Professionalmedian $589 · 10th to 90th $309 to $4,898
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 $309.03 Median $812.83 Typical High $5,011.87 | Professional | None | $309.03 | $812.83 | $5,011.87 |
BCBS Nebraska Setting Facility Modifier None Typical Low $15,135.61 Median $20,417.38 Typical High $41,686.94 | Facility | None | $15,135.61 | $20,417.38 | $41,686.94 |
BCBS Nebraska Setting Professional Modifier None Typical Low $263.03 Median $467.74 Typical High $660.69 | Professional | None | $263.03 | $467.74 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $6,760.83 Median $8,709.64 Typical High $10,471.29 | Facility | None | $6,760.83 | $8,709.64 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $3,019.95 Typical High $4,786.30 | Professional | None | $676.08 | $3,019.95 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $10,964.78 | Facility | None | $1,445.44 | $3,715.35 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $4,265.80 Typical High $15,848.93 | Professional | None | $549.54 | $4,265.80 | $15,848.93 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $3,548.13 Typical High $5,495.41 | Professional | None | $794.33 | $3,548.13 | $5,495.41 |
Midlands Setting Facility Modifier None Typical Low $6,760.83 Median $8,709.64 Typical High $10,715.19 | Facility | None | $6,760.83 | $8,709.64 | $10,715.19 |
Midlands Setting Professional Modifier None Typical Low $562.34 Median $3,548.13 Typical High $6,918.31 | Professional | None | $562.34 | $3,548.13 | $6,918.31 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $8,317.64 | Facility | None | $1,698.24 | $3,801.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $426.58 Median $851.14 Typical High $4,570.88 | Professional | None | $426.58 | $851.14 | $4,570.88 |
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 $154.88 Median $269.15 Typical High $954.99 | Professional | 52 · Reduced service | $154.88 | $269.15 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $107.15 Typical High $380.19 | Professional | 53 · Discontinued | $61.66 | $107.15 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $398.11 Typical High $1,445.44 | Professional | 54 · Surgery only | $229.09 | $398.11 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $79.43 Typical High $288.40 | Professional | 55 · Aftercare only | $46.77 | $79.43 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $53.70 Typical High $190.55 | Professional | 56 · Pre-op care only | $30.90 | $53.70 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $371.54 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $213.80 | $371.54 | $1,348.96 |
Where Nebraska sits
The same service costs 13.1 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 $15,603MT $1,192
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.