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 $2,951.21 Median $7,943.28 Typical High $21,877.62 | Facility | None | $2,951.21 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $5,011.87 | Professional | None | $2,951.21 | $2,951.21 | $5,011.87 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,128.31 Median $10,964.78 Typical High $21,877.62 | Facility | None | $8,128.31 | $10,964.78 | $21,877.62 |
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 $5,623.41 Median $6,918.31 Typical High $7,585.78 | Professional | None | $5,623.41 | $6,918.31 | $7,585.78 |
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 $3,981.07 Median $7,413.10 Typical High $26,915.35 | Professional | None | $3,981.07 | $7,413.10 | $26,915.35 |
Midlands Setting Professional Modifier None Typical Low $5,623.41 Median $7,413.10 Typical High $9,772.37 | Professional | None | $5,623.41 | $7,413.10 | $9,772.37 |
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 $5,370.32 Median $7,079.46 Typical High $10,000.00 | Professional | None | $5,370.32 | $7,079.46 | $10,000.00 |
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 $3,981.07 Median $6,456.54 Typical High $8,317.64 | Professional | None | $3,981.07 | $6,456.54 | $8,317.64 |
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 $1,479.11 Median $1,479.11 Typical High $2,511.89 | Professional | 52 · Reduced service | $1,479.11 | $1,479.11 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $1,000.00 | Professional | 53 · Discontinued | $588.84 | $588.84 | $1,000.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,187.76 Median $2,187.76 Typical High $3,715.35 | Professional | 54 · Surgery only | $2,187.76 | $2,187.76 | $3,715.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $436.52 Typical High $758.58 | Professional | 55 · Aftercare only | $436.52 | $436.52 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $295.12 Typical High $501.19 | Professional | 56 · Pre-op care only | $295.12 | $295.12 | $501.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,041.74 Median $2,041.74 Typical High $3,467.37 | Professional | 78 · Unplanned return to OR | $2,041.74 | $2,041.74 | $3,467.37 |
Where Nebraska sits
The same service costs 20.4 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
$6,918
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.