How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,514 to $13,490Professionalmedian $4,467 · 10th to 90th $2,754 to $6,918
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 $2,041.74 Median $7,943.28 Typical High $21,877.62 | Facility | None | $2,041.74 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $3,467.37 | Professional | None | $2,041.74 | $2,041.74 | $3,467.37 |
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 |
BCBS Nebraska Setting Professional Modifier None Typical Low $3,388.44 Median $3,630.78 Typical High $4,073.80 | Professional | None | $3,388.44 | $3,630.78 | $4,073.80 |
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 $3,981.07 Median $4,570.88 Typical High $5,370.32 | Professional | None | $3,981.07 | $4,570.88 | $5,370.32 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $3,019.95 Typical High $9,772.37 | Facility | None | $1,318.26 | $3,019.95 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $2,754.23 Median $5,248.07 Typical High $24,547.09 | Professional | None | $2,754.23 | $5,248.07 | $24,547.09 |
Midlands Setting Professional Modifier None Typical Low $3,981.07 Median $5,248.07 Typical High $6,918.31 | Professional | None | $3,981.07 | $5,248.07 | $6,918.31 |
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 $3,801.89 Median $4,897.79 Typical High $6,918.31 | Professional | None | $3,801.89 | $4,897.79 | $6,918.31 |
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 $2,754.23 Median $4,265.80 Typical High $5,623.41 | Professional | None | $2,754.23 | $4,265.80 | $5,623.41 |
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 $1,023.29 Median $1,023.29 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $691.83 | Professional | 53 · Discontinued | $407.38 | $407.38 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,513.56 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,513.56 | $1,513.56 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $512.86 | Professional | 55 · Aftercare only | $302.00 | $302.00 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $346.74 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,412.54 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,412.54 | $2,398.83 |
Where Nebraska sits
The same service costs 21.4 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
$4,571
AK $9,120TX $427
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.