How much rates vary
Facilitymedian $5,623 · 10th to 90th $2,344 to $12,303Professionalmedian $5,623 · 10th to 90th $3,467 to $8,710
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 $5,011.87 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,011.87 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $4,365.16 | Professional | None | $2,570.40 | $2,570.40 | $4,365.16 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,511.38 Median $11,220.18 Typical High $22,908.68 | Facility | None | $8,511.38 | $11,220.18 | $22,908.68 |
BCBS Nebraska Setting Professional Modifier None Typical Low $5,011.87 Median $5,370.32 Typical High $5,754.40 | Professional | None | $5,011.87 | $5,370.32 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $5,248.07 Typical High $6,456.54 | Facility | None | $4,073.80 | $5,248.07 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $4,897.79 Median $5,623.41 Typical High $6,606.93 | Professional | None | $4,897.79 | $5,623.41 | $6,606.93 |
Medica Setting Facility Modifier None Typical Low $1,698.24 Median $3,981.07 Typical High $12,022.64 | Facility | None | $1,698.24 | $3,981.07 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $3,467.37 Median $6,165.95 Typical High $20,892.96 | Professional | None | $3,467.37 | $6,165.95 | $20,892.96 |
Midlands Setting Professional Modifier None Typical Low $4,897.79 Median $6,456.54 Typical High $8,511.38 | Professional | None | $4,897.79 | $6,456.54 | $8,511.38 |
Midlands Setting Facility Modifier None Typical Low $4,168.69 Median $5,495.41 Typical High $6,760.83 | Facility | None | $4,168.69 | $5,495.41 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $4,677.35 Median $6,165.95 Typical High $8,709.64 | Professional | None | $4,677.35 | $6,165.95 | $8,709.64 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $8,912.51 | Facility | None | $1,698.24 | $3,801.89 | $8,912.51 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $5,370.32 Typical High $6,918.31 | Professional | None | $3,467.37 | $5,370.32 | $6,918.31 |
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 $1,288.25 Median $1,288.25 Typical High $2,187.76 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $870.96 | Professional | 53 · Discontinued | $512.86 | $512.86 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,905.46 Typical High $3,235.94 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $3,235.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $660.69 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $660.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $436.52 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,778.28 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,778.28 | $3,019.95 |
Where Nebraska sits
The same service costs 19.5 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
$5,623
AK $11,482TX $589
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.