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 $2,089.30 Median $2,089.30 Typical High $3,548.13 | Professional | None | $2,089.30 | $2,089.30 | $3,548.13 |
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 $3,890.45 Median $5,011.87 Typical High $5,495.41 | Professional | None | $3,890.45 | $5,011.87 | $5,495.41 |
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 $2,818.38 Median $5,370.32 Typical High $21,379.62 | Professional | None | $2,818.38 | $5,370.32 | $21,379.62 |
Midlands Setting Professional Modifier None Typical Low $3,890.45 Median $5,248.07 Typical High $6,918.31 | Professional | None | $3,890.45 | $5,248.07 | $6,918.31 |
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 $3,890.45 Median $4,897.79 Typical High $7,079.46 | Professional | None | $3,890.45 | $4,897.79 | $7,079.46 |
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 $2,818.38 Median $4,677.35 Typical High $6,456.54 | Professional | None | $2,818.38 | $4,677.35 | $6,456.54 |
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 $1,047.13 Median $1,047.13 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $707.95 | Professional | 53 · Discontinued | $416.87 | $416.87 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $537.03 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $354.81 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $2,454.71 |
Where Nebraska sits
The same service costs 21.9 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
$5,012
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.