How much rates vary
Facilitymedian $8,511 · 10th to 90th $1,585 to $33,113Professionalmedian $692 · 10th to 90th $372 to $8,318
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 $288.40 Median $288.40 Typical High $954.99 | Professional | None | $288.40 | $288.40 | $954.99 |
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 $25,703.96 Median $26,915.35 Typical High $30,902.95 | Professional | None | $25,703.96 | $26,915.35 | $30,902.95 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $23,442.29 Typical High $31,622.78 | Facility | None | $645.65 | $23,442.29 | $31,622.78 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $676.08 Typical High $741.31 | Professional | None | $588.84 | $676.08 | $741.31 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $35,481.34 | Facility | None | $1,659.59 | $3,981.07 | $35,481.34 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $691.83 Typical High $8,317.64 | Professional | None | $371.54 | $691.83 | $8,317.64 |
Midlands Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $912.01 | Professional | None | $602.56 | $691.83 | $912.01 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $24,547.09 Typical High $32,359.37 | Facility | None | $645.65 | $24,547.09 | $32,359.37 |
Midlands Setting Professional Modifier None Typical Low $524.81 Median $758.58 Typical High $977.24 | Professional | None | $524.81 | $758.58 | $977.24 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $3,981.07 Typical High $13,803.84 | Facility | None | $1,819.70 | $3,981.07 | $13,803.84 |
United Setting Professional Modifier None Typical Low $371.54 Median $616.60 Typical High $812.83 | Professional | None | $371.54 | $616.60 | $812.83 |
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 $144.54 Median $144.54 Typical High $251.19 | Professional | 52 · Reduced service | $144.54 | $144.54 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $100.00 | Professional | 53 · Discontinued | $57.54 | $57.54 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $218.78 Typical High $380.19 | Professional | 54 · Surgery only | $218.78 | $218.78 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $43.65 Typical High $75.86 | Professional | 55 · Aftercare only | $43.65 | $43.65 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $50.12 | Professional | 56 · Pre-op care only | $28.84 | $28.84 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $204.17 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $204.17 | $204.17 | $354.81 |
Where Nebraska sits
The same service costs 29.1 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 $30,626MT $1,051
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.