How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,622 to $12,303Professionalmedian $3,548 · 10th to 90th $1,995 to $7,762
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 $5,495.41 Median $9,549.93 Typical High $21,877.62 | Facility | None | $5,495.41 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,454.71 | Professional | None | $1,445.44 | $1,445.44 | $2,454.71 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,606.93 Median $8,912.51 Typical High $17,782.79 | Facility | None | $6,606.93 | $8,912.51 | $17,782.79 |
BCBS Nebraska Setting Professional Modifier None Typical Low $7,079.46 Median $7,413.10 Typical High $7,762.47 | Professional | None | $7,079.46 | $7,413.10 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $4,073.80 Typical High $8,912.51 | Facility | None | $1,949.84 | $4,073.80 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $3,467.37 Typical High $3,801.89 | Professional | None | $2,884.03 | $3,467.37 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $26,302.68 | Facility | None | $1,380.38 | $3,019.95 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,995.26 Median $3,715.35 Typical High $23,988.33 | Professional | None | $1,995.26 | $3,715.35 | $23,988.33 |
Midlands Setting Professional Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,897.79 | Professional | None | $2,884.03 | $3,715.35 | $4,897.79 |
Midlands Setting Facility Modifier None Typical Low $1,949.84 Median $4,168.69 Typical High $9,332.54 | Facility | None | $1,949.84 | $4,168.69 | $9,332.54 |
Midlands Setting Professional Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $5,011.87 | Professional | None | $2,691.53 | $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 $1,995.26 Median $3,311.31 Typical High $4,466.84 | Professional | None | $1,995.26 | $3,311.31 | $4,466.84 |
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 $724.44 Median $724.44 Typical High $1,230.27 | Professional | 52 · Reduced service | $724.44 | $724.44 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $489.78 | Professional | 53 · Discontinued | $288.40 | $288.40 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $371.54 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $245.47 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $1,737.80 |
Where Nebraska sits
The same service costs 20.0 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
$3,715
AK $6,457TX $324
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.