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 $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 $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 $4,677.35 Median $6,025.60 Typical High $6,760.83 | Professional | None | $4,677.35 | $6,025.60 | $6,760.83 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $7,413.10 | Facility | None | $1,318.26 | $2,951.21 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $3,467.37 Median $6,606.93 Typical High $32,359.37 | Professional | None | $3,467.37 | $6,606.93 | $32,359.37 |
Midlands Setting Professional Modifier None Typical Low $4,677.35 Median $6,456.54 Typical High $8,511.38 | Professional | None | $4,677.35 | $6,456.54 | $8,511.38 |
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 $4,677.35 Median $5,888.44 Typical High $8,709.64 | Professional | None | $4,677.35 | $5,888.44 | $8,709.64 |
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 $3,467.37 Median $5,754.40 Typical High $7,585.78 | Professional | None | $3,467.37 | $5,754.40 | $7,585.78 |
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 $645.65 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $645.65 |
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 20.9 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
$5,888
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.