How much rates vary
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 $2,454.71 Median $7,943.28 Typical High $21,877.62 | Facility | None | $2,454.71 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $4,265.80 | Professional | None | $2,454.71 | $2,454.71 | $4,265.80 |
BCBS Nebraska Setting Facility Modifier None Typical Low $14,454.40 Median $19,498.45 Typical High $39,810.72 | Facility | None | $14,454.40 | $19,498.45 | $39,810.72 |
Cigna Setting Facility Modifier None Typical Low $18,620.87 Median $24,547.09 Typical High $33,884.42 | Facility | None | $18,620.87 | $24,547.09 | $33,884.42 |
Cigna Setting Professional Modifier None Typical Low $4,786.30 Median $5,623.41 Typical High $6,456.54 | Professional | None | $4,786.30 | $5,623.41 | $6,456.54 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $3,981.07 Typical High $10,471.29 | Facility | None | $1,737.80 | $3,981.07 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $3,311.31 Median $6,309.57 Typical High $20,417.38 | Professional | None | $3,311.31 | $6,309.57 | $20,417.38 |
Midlands Setting Professional Modifier None Typical Low $4,786.30 Median $6,165.95 Typical High $8,317.64 | Professional | None | $4,786.30 | $6,165.95 | $8,317.64 |
Midlands Setting Facility Modifier None Typical Low $22,387.21 Median $24,547.09 Typical High $36,307.81 | Facility | None | $22,387.21 | $24,547.09 | $36,307.81 |
Midlands Setting Professional Modifier None Typical Low $4,570.88 Median $5,888.44 Typical High $8,511.38 | Professional | None | $4,570.88 | $5,888.44 | $8,511.38 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $3,981.07 Typical High $13,803.84 | Facility | None | $1,819.70 | $3,981.07 | $13,803.84 |
United Setting Professional Modifier None Typical Low $3,311.31 Median $5,248.07 Typical High $6,760.83 | Professional | None | $3,311.31 | $5,248.07 | $6,760.83 |
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 $1,230.27 Median $1,230.27 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,230.27 | $1,230.27 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $851.14 | Professional | 53 · Discontinued | $489.78 | $489.78 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $1,862.09 Typical High $3,162.28 | Professional | 54 · Surgery only | $1,862.09 | $1,862.09 | $3,162.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $630.96 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $426.58 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $426.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,737.80 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $1,737.80 | $1,737.80 | $2,951.21 |
Where Nebraska sits
The same service costs 20.0 times more in Alaska 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.
Nebraska· 4th of 51
$5,888
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.