How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,096 to $8,318Professionalmedian $1,148 · 10th to 90th $603 to $5,623
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 $724.44 Median $7,244.36 Typical High $17,378.01 | Facility | None | $724.44 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $1,348.96 | Professional | None | $602.56 | $724.44 | $1,348.96 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,248.07 Median $6,918.31 Typical High $14,125.38 | Facility | None | $5,248.07 | $6,918.31 | $14,125.38 |
BCBS Nebraska Setting Professional Modifier None Typical Low $537.03 Median $954.99 Typical High $1,288.25 | Professional | None | $537.03 | $954.99 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $1,905.46 | Facility | None | $1,096.48 | $1,548.82 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $1,949.84 | Professional | None | $1,445.44 | $1,698.24 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $5,754.40 | Facility | None | $1,071.52 | $1,819.70 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $5,623.41 Typical High $5,754.40 | Professional | None | $1,318.26 | $5,623.41 | $5,754.40 |
Midlands Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $1,949.84 | Professional | None | $1,513.56 | $1,778.28 | $1,949.84 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $1,584.89 Typical High $1,995.26 | Facility | None | $1,096.48 | $1,584.89 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $2,041.74 | Professional | None | $1,258.93 | $1,737.80 | $2,041.74 |
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 $933.25 Median $1,513.56 Typical High $1,905.46 | Professional | None | $933.25 | $1,513.56 | $1,905.46 |
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 $302.00 Median $363.08 Typical High $575.44 | Professional | 52 · Reduced service | $302.00 | $363.08 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $144.54 Typical High $229.09 | Professional | 53 · Discontinued | $123.03 | $144.54 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $537.03 Typical High $851.14 | Professional | 54 · Surgery only | $457.09 | $537.03 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $107.15 Typical High $173.78 | Professional | 55 · Aftercare only | $91.20 | $107.15 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $72.44 Typical High $114.82 | Professional | 56 · Pre-op care only | $60.26 | $72.44 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $501.19 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $426.58 | $501.19 | $794.33 |
Where Nebraska sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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 $6,098WV $1,627
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.