How much rates vary
Facilitymedian $1,820 · 10th to 90th $1,148 to $7,762Professionalmedian $1,514 · 10th to 90th $891 to $2,239
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 $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,380.38 | Professional | None | $676.08 | $676.08 | $1,380.38 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,090.30 Median $4,073.80 Typical High $8,317.64 | Facility | None | $3,090.30 | $4,073.80 | $8,317.64 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,513.56 | Professional | None | $1,348.96 | $1,412.54 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $1,659.59 | Facility | None | $1,096.48 | $1,412.54 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $1,737.80 | Professional | None | $1,318.26 | $1,584.89 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $5,248.07 | Facility | None | $1,096.48 | $1,819.70 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,659.59 Typical High $5,370.32 | Professional | None | $891.25 | $1,659.59 | $5,370.32 |
Midlands Setting Professional Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,318.26 | $1,659.59 | $2,187.76 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $1,737.80 | Facility | None | $1,096.48 | $1,479.11 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,238.72 | Professional | None | $1,230.27 | $1,659.59 | $2,238.72 |
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 $891.25 Median $1,479.11 Typical High $1,995.26 | Professional | None | $891.25 | $1,479.11 | $1,995.26 |
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 $338.84 Median $338.84 Typical High $588.84 | Professional | 52 · Reduced service | $338.84 | $338.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $234.42 | Professional | 53 · Discontinued | $134.90 | $134.90 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $891.25 | Professional | 54 · Surgery only | $512.86 | $512.86 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $177.83 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $117.49 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $831.76 |
Where Nebraska sits
The same service costs 3.0 times more in Alaska than in Maryland. 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 $5,643MD $1,856
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.