How much rates vary
Facilitymedian $1,820 · 10th to 90th $851 to $7,244Professionalmedian $363 · 10th to 90th $182 to $1,072
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 $389.05 Median $1,548.82 Typical High $10,964.78 | Facility | None | $389.05 | $1,548.82 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $446.68 Typical High $1,071.52 | Professional | None | $181.97 | $446.68 | $1,071.52 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $1,071.52 | Professional | None | $208.93 | $208.93 | $1,071.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,011.87 Median $6,760.83 Typical High $13,803.84 | Facility | None | $5,011.87 | $6,760.83 | $13,803.84 |
BCBS Nebraska Setting Professional Modifier None Typical Low $158.49 Median $281.84 Typical High $389.05 | Professional | None | $158.49 | $281.84 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $1,778.28 | Facility | None | $1,202.26 | $1,548.82 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $812.83 Typical High $1,047.13 | Professional | None | $426.58 | $812.83 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $5,248.07 | Facility | None | $831.76 | $1,819.70 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $1,047.13 Typical High $3,235.94 | Professional | None | $512.86 | $1,047.13 | $3,235.94 |
Midlands Setting Professional Modifier None Typical Low $524.81 Median $912.01 Typical High $1,148.15 | Professional | None | $524.81 | $912.01 | $1,148.15 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $2,290.87 | Facility | None | $1,288.25 | $1,548.82 | $2,290.87 |
Midlands Setting Professional Modifier None Typical Low $331.13 Median $741.31 Typical High $1,380.38 | Professional | None | $331.13 | $741.31 | $1,380.38 |
Oscar Health Setting Facility Modifier None Typical Low $1,412.54 Median $6,025.60 Typical High $7,079.46 | Facility | None | $1,412.54 | $6,025.60 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,174.90 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $302.00 Median $549.54 Typical High $1,047.13 | Professional | None | $302.00 | $549.54 | $1,047.13 |
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 $91.20 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $91.20 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $36.31 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $302.00 Typical High $302.00 | Professional | 54 · Surgery only | $138.04 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $27.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $18.20 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $281.84 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $128.82 | $281.84 | $281.84 |
Where Nebraska sits
The same service costs 4.6 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 $4,728MT $1,029
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.