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 $1,659.59 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,659.59 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,818.38 | Professional | None | $1,659.59 | $1,659.59 | $2,818.38 |
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 $1,318.26 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,318.26 | $1,513.56 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $3,311.31 Median $3,890.45 Typical High $4,265.80 | Professional | None | $3,311.31 | $3,890.45 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,235.94 Typical High $8,128.31 | Facility | None | $1,513.56 | $3,235.94 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $4,168.69 Typical High $18,197.01 | Professional | None | $2,187.76 | $4,168.69 | $18,197.01 |
Midlands Setting Professional Modifier None Typical Low $3,162.28 Median $4,073.80 Typical High $5,495.41 | Professional | None | $3,162.28 | $4,073.80 | $5,495.41 |
Midlands Setting Facility Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $2,238.72 | Facility | None | $1,318.26 | $1,513.56 | $2,238.72 |
Midlands Setting Professional Modifier None Typical Low $3,019.95 Median $3,981.07 Typical High $5,623.41 | Professional | None | $3,019.95 | $3,981.07 | $5,623.41 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,162.28 Typical High $7,244.36 | Facility | None | $1,698.24 | $3,162.28 | $7,244.36 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,630.78 Typical High $5,011.87 | Professional | None | $2,187.76 | $3,630.78 | $5,011.87 |
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 $812.83 Median $812.83 Typical High $1,412.54 | Professional | 52 · Reduced service | $812.83 | $812.83 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $562.34 | Professional | 53 · Discontinued | $331.13 | $331.13 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $416.87 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $281.84 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,949.84 |
Where Nebraska sits
The same service costs 18.6 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
$3,890
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.