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 $1,513.56 Median $1,513.56 Typical High $2,511.89 | Professional | None | $1,513.56 | $1,513.56 | $2,511.89 |
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 $5,754.40 Median $6,760.83 Typical High $7,079.46 | Facility | None | $5,754.40 | $6,760.83 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $3,548.13 Typical High $3,890.45 | Professional | None | $3,019.95 | $3,548.13 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,818.38 Typical High $7,413.10 | Facility | None | $1,318.26 | $2,818.38 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $3,801.89 Typical High $14,454.40 | Professional | None | $2,041.74 | $3,801.89 | $14,454.40 |
Midlands Setting Professional Modifier None Typical Low $2,884.03 Median $3,801.89 Typical High $5,011.87 | Professional | None | $2,884.03 | $3,801.89 | $5,011.87 |
Midlands Setting Facility Modifier None Typical Low $5,754.40 Median $6,760.83 Typical High $10,000.00 | Facility | None | $5,754.40 | $6,760.83 | $10,000.00 |
Midlands Setting Professional Modifier None Typical Low $2,754.23 Median $3,630.78 Typical High $5,011.87 | Professional | None | $2,754.23 | $3,630.78 | $5,011.87 |
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 $2,041.74 Median $3,388.44 Typical High $4,570.88 | Professional | None | $2,041.74 | $3,388.44 | $4,570.88 |
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 $758.58 Median $758.58 Typical High $1,258.93 | Professional | 52 · Reduced service | $758.58 | $758.58 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $501.19 | Professional | 53 · Discontinued | $302.00 | $302.00 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $380.19 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $251.19 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,778.28 |
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
$3,631
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.