How much rates vary
Facilitymedian $1,585 · 10th to 90th $347 to $6,026Professionalmedian $646 · 10th to 90th $339 to $2,754
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 $363.08 Median $3,801.89 Typical High $11,481.54 | Facility | None | $363.08 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $363.08 Typical High $676.08 | Professional | None | $346.74 | $363.08 | $676.08 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $3,162.28 | Facility | None | $1,174.90 | $1,548.82 | $3,162.28 |
BCBS Nebraska Setting Professional Modifier None Typical Low $302.00 Median $512.86 Typical High $691.83 | Professional | None | $302.00 | $512.86 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $371.54 Typical High $426.58 | Facility | None | $302.00 | $371.54 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $1,122.02 | Professional | None | $812.83 | $870.96 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,819.70 Typical High $3,890.45 | Facility | None | $645.65 | $1,819.70 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $2,754.23 Typical High $2,884.03 | Professional | None | $660.69 | $2,754.23 | $2,884.03 |
Midlands Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $1,122.02 | Professional | None | $851.14 | $891.25 | $1,122.02 |
Midlands Setting Facility Modifier None Typical Low $302.00 Median $371.54 Typical High $457.09 | Facility | None | $302.00 | $371.54 | $457.09 |
Midlands Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $1,148.15 | Professional | None | $724.44 | $891.25 | $1,148.15 |
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 $524.81 Median $812.83 Typical High $1,023.29 | Professional | None | $524.81 | $812.83 | $1,023.29 |
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 $173.78 Median $181.97 Typical High $323.59 | Professional | 52 · Reduced service | $173.78 | $181.97 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $72.44 Typical High $128.82 | Professional | 53 · Discontinued | $69.18 | $72.44 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $269.15 Typical High $489.78 | Professional | 54 · Surgery only | $257.04 | $269.15 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $54.95 Typical High $97.72 | Professional | 55 · Aftercare only | $51.29 | $54.95 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $36.31 Typical High $64.57 | Professional | 56 · Pre-op care only | $34.67 | $36.31 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $251.19 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $239.88 | $251.19 | $457.09 |
Where Nebraska sits
The same service costs 6.1 times more in Colorado than in Texas. 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 $4,822TX $790
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.