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 $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 $1,318.26 Median $1,318.26 Typical High $2,187.76 | Professional | None | $1,318.26 | $1,318.26 | $2,187.76 |
BCBS Nebraska Setting Facility Modifier None Typical Low $9,332.54 Median $12,302.69 Typical High $25,118.86 | Facility | None | $9,332.54 | $12,302.69 | $25,118.86 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $5,248.07 Typical High $5,623.41 | Facility | None | $4,570.88 | $5,248.07 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $3,162.28 Typical High $3,388.44 | Professional | None | $2,630.27 | $3,162.28 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,691.53 Typical High $8,709.64 | Facility | None | $1,318.26 | $2,691.53 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $3,388.44 Typical High $13,489.63 | Professional | None | $1,778.28 | $3,388.44 | $13,489.63 |
Midlands Setting Professional Modifier None Typical Low $2,511.89 Median $3,388.44 Typical High $4,365.16 | Professional | None | $2,511.89 | $3,388.44 | $4,365.16 |
Midlands Setting Facility Modifier None Typical Low $4,570.88 Median $5,248.07 Typical High $7,762.47 | Facility | None | $4,570.88 | $5,248.07 | $7,762.47 |
Midlands Setting Professional Modifier None Typical Low $2,398.83 Median $3,162.28 Typical High $4,466.84 | Professional | None | $2,398.83 | $3,162.28 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $7,585.78 | Facility | None | $1,380.38 | $3,019.95 | $7,585.78 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,951.21 Typical High $3,890.45 | Professional | None | $1,778.28 | $2,951.21 | $3,890.45 |
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 $660.69 Median $660.69 Typical High $1,096.48 | Professional | 52 · Reduced service | $660.69 | $660.69 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $436.52 | Professional | 53 · Discontinued | $263.03 | $263.03 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $1,659.59 | Professional | 54 · Surgery only | $977.24 | $977.24 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $331.13 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $218.78 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $912.01 | $912.01 | $1,548.82 |
Where Nebraska sits
The same service costs 17.8 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
$3,162
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.