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 $1,584.89 Median $1,584.89 Typical High $2,630.27 | Professional | None | $1,584.89 | $1,584.89 | $2,630.27 |
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 $3,235.94 Median $3,715.35 Typical High $4,168.69 | Professional | None | $3,235.94 | $3,715.35 | $4,168.69 |
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 $2,137.96 Median $4,073.80 Typical High $15,135.61 | Professional | None | $2,137.96 | $4,073.80 | $15,135.61 |
Midlands Setting Professional Modifier None Typical Low $3,019.95 Median $4,073.80 Typical High $5,248.07 | Professional | None | $3,019.95 | $4,073.80 | $5,248.07 |
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 $2,951.21 Median $3,801.89 Typical High $5,370.32 | Professional | None | $2,951.21 | $3,801.89 | $5,370.32 |
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 $2,137.96 Median $3,311.31 Typical High $4,365.16 | Professional | None | $2,137.96 | $3,311.31 | $4,365.16 |
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 $794.33 Median $794.33 Typical High $1,318.26 | Professional | 52 · Reduced service | $794.33 | $794.33 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $537.03 | Professional | 53 · Discontinued | $316.23 | $316.23 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,174.90 | $1,174.90 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $398.11 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $263.03 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,096.48 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,096.48 | $1,862.09 |
Where Nebraska sits
The same service costs 18.2 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
$3,802
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.