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 $416.87 Median $7,244.36 Typical High $17,378.01 | Facility | None | $416.87 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $691.83 | Professional | None | $302.00 | $416.87 | $691.83 |
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 $269.15 Median $478.63 Typical High $660.69 | Professional | None | $269.15 | $478.63 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,995.26 Typical High $3,890.45 | Facility | None | $1,096.48 | $1,995.26 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $1,071.52 | Professional | None | $616.60 | $831.76 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $2,691.53 Typical High $7,943.28 | Facility | None | $794.33 | $2,691.53 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $1,071.52 Typical High $3,388.44 | Professional | None | $524.81 | $1,071.52 | $3,388.44 |
Midlands Setting Professional Modifier None Typical Low $741.31 Median $977.24 Typical High $1,096.48 | Professional | None | $741.31 | $977.24 | $1,096.48 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $2,398.83 Typical High $3,801.89 | Facility | None | $1,096.48 | $2,398.83 | $3,801.89 |
Midlands Setting Professional Modifier None Typical Low $562.34 Median $1,023.29 Typical High $1,380.38 | Professional | None | $562.34 | $1,023.29 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $6,606.93 | Facility | None | $1,380.38 | $3,019.95 | $6,606.93 |
United Setting Professional Modifier None Typical Low $426.58 Median $724.44 Typical High $1,071.52 | Professional | None | $426.58 | $724.44 | $1,071.52 |
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 $151.36 Median $204.17 Typical High $257.04 | Professional | 52 · Reduced service | $151.36 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $83.18 Typical High $102.33 | Professional | 53 · Discontinued | $60.26 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $309.03 Typical High $389.05 | Professional | 54 · Surgery only | $229.09 | $309.03 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $61.66 Typical High $77.62 | Professional | 55 · Aftercare only | $45.71 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $41.69 Typical High $51.29 | Professional | 56 · Pre-op care only | $30.20 | $41.69 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $288.40 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $213.80 | $288.40 | $363.08 |
Where Nebraska sits
The same service costs 5.0 times more in Alaska than in Utah. 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· 11th of 51
$603
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.