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 $3,548.13 Median $7,943.28 Typical High $21,877.62 | Facility | None | $3,548.13 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $6,025.60 | Professional | None | $3,548.13 | $3,548.13 | $6,025.60 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,365.16 Median $5,888.44 Typical High $11,748.98 | Facility | None | $4,365.16 | $5,888.44 | $11,748.98 |
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 $7,079.46 Median $8,511.38 Typical High $9,120.11 | Professional | None | $7,079.46 | $8,511.38 | $9,120.11 |
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 $4,786.30 Median $9,120.11 Typical High $30,199.52 | Professional | None | $4,786.30 | $9,120.11 | $30,199.52 |
Midlands Setting Professional Modifier None Typical Low $6,760.83 Median $8,912.51 Typical High $11,748.98 | Professional | None | $6,760.83 | $8,912.51 | $11,748.98 |
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 $6,456.54 Median $8,511.38 Typical High $12,022.64 | Professional | None | $6,456.54 | $8,511.38 | $12,022.64 |
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 $4,786.30 Median $7,943.28 Typical High $10,715.19 | Professional | None | $4,786.30 | $7,943.28 | $10,715.19 |
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 $1,778.28 Median $1,778.28 Typical High $3,019.95 | Professional | 52 · Reduced service | $1,778.28 | $1,778.28 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $1,202.26 | Professional | 53 · Discontinued | $707.95 | $707.95 | $1,202.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,630.27 Median $2,630.27 Typical High $4,570.88 | Professional | 54 · Surgery only | $2,630.27 | $2,630.27 | $4,570.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $524.81 Typical High $912.01 | Professional | 55 · Aftercare only | $524.81 | $524.81 | $912.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $354.81 Median $354.81 Typical High $602.56 | Professional | 56 · Pre-op care only | $354.81 | $354.81 | $602.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,454.71 Median $2,454.71 Typical High $4,265.80 | Professional | 78 · Unplanned return to OR | $2,454.71 | $2,454.71 | $4,265.80 |
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· 5th of 51
$7,943
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.