How much rates vary
Facilitymedian $324 · 10th to 90th $129 to $3,388Professionalmedian $562 · 10th to 90th $288 to $2,399
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 $309.03 Median $3,801.89 Typical High $11,481.54 | Facility | None | $309.03 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $812.83 | Professional | None | $302.00 | $309.03 | $812.83 |
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 $257.04 Median $457.09 Typical High $602.56 | Professional | None | $257.04 | $457.09 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $323.59 | Facility | None | $204.17 | $281.84 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $758.58 Typical High $977.24 | Professional | None | $724.44 | $758.58 | $977.24 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $269.15 Typical High $1,288.25 | Facility | None | $102.33 | $269.15 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $2,398.83 Typical High $2,454.71 | Professional | None | $549.54 | $2,398.83 | $2,454.71 |
Midlands Setting Professional Modifier None Typical Low $741.31 Median $758.58 Typical High $977.24 | Professional | None | $741.31 | $758.58 | $977.24 |
Midlands Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $363.08 | Facility | None | $204.17 | $281.84 | $363.08 |
Midlands Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $977.24 | Professional | None | $630.96 | $758.58 | $977.24 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $457.09 Median $691.83 Typical High $870.96 | Professional | None | $457.09 | $691.83 | $870.96 |
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 $151.36 Median $154.88 Typical High $281.84 | Professional | 52 · Reduced service | $151.36 | $154.88 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $61.66 Typical High $112.20 | Professional | 53 · Discontinued | $60.26 | $61.66 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $234.42 Typical High $426.58 | Professional | 54 · Surgery only | $229.09 | $234.42 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $46.77 Typical High $85.11 | Professional | 55 · Aftercare only | $45.71 | $46.77 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.90 Typical High $56.23 | Professional | 56 · Pre-op care only | $30.20 | $30.90 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $218.78 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $213.80 | $218.78 | $398.11 |
Where Nebraska sits
The same service costs 7.4 times more in Hawaii than in Florida. 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
HI $3,255FL $440
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.