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 $4,897.79 Median $8,511.38 Typical High $21,877.62 | Facility | None | $4,897.79 | $8,511.38 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,951.21 | Professional | None | $1,698.24 | $1,698.24 | $2,951.21 |
BCBS Nebraska Setting Facility Modifier None Typical Low $12,022.64 Median $15,848.93 Typical High $32,359.37 | Facility | None | $12,022.64 | $15,848.93 | $32,359.37 |
Cigna Setting Facility Modifier None Typical Low $14,125.38 Median $16,595.87 Typical High $17,378.01 | Facility | None | $14,125.38 | $16,595.87 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $4,073.80 Typical High $4,466.84 | Professional | None | $3,548.13 | $4,073.80 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $3,467.37 Typical High $10,471.29 | Facility | None | $1,659.59 | $3,467.37 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $2,238.72 Median $4,168.69 Typical High $14,125.38 | Professional | None | $2,238.72 | $4,168.69 | $14,125.38 |
Midlands Setting Professional Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $5,495.41 | Professional | None | $3,548.13 | $4,168.69 | $5,495.41 |
Midlands Setting Facility Modifier None Typical Low $14,125.38 Median $16,595.87 Typical High $24,547.09 | Facility | None | $14,125.38 | $16,595.87 | $24,547.09 |
Midlands Setting Professional Modifier None Typical Low $3,162.28 Median $4,466.84 Typical High $6,025.60 | Professional | None | $3,162.28 | $4,466.84 | $6,025.60 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $3,981.07 Typical High $13,803.84 | Facility | None | $1,819.70 | $3,981.07 | $13,803.84 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $3,715.35 Typical High $5,011.87 | Professional | None | $2,238.72 | $3,715.35 | $5,011.87 |
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 $851.14 Median $851.14 Typical High $1,479.11 | Professional | 52 · Reduced service | $851.14 | $851.14 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $588.84 | Professional | 53 · Discontinued | $338.84 | $338.84 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,258.93 Typical High $2,238.72 | Professional | 54 · Surgery only | $1,258.93 | $1,258.93 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $446.68 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $295.12 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,174.90 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,174.90 | $2,089.30 |
Where Nebraska sits
The same service costs 16.2 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· 5th of 51
$4,169
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.