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 $1,548.82 Median $4,365.16 Typical High $11,481.54 | Facility | None | $1,548.82 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $954.99 | Professional | None | $354.81 | $354.81 | $954.99 |
BCBS Nebraska Setting Facility Modifier None Typical Low $7,943.28 Median $10,715.19 Typical High $21,379.62 | Facility | None | $7,943.28 | $10,715.19 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $912.01 | Professional | None | $707.95 | $831.76 | $912.01 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $239.88 Typical High $1,778.28 | Facility | None | $102.33 | $239.88 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $891.25 Typical High $3,981.07 | Professional | None | $467.74 | $891.25 | $3,981.07 |
Midlands Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,148.15 | Professional | None | $707.95 | $870.96 | $1,148.15 |
Midlands Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $1,202.26 | Professional | None | $645.65 | $891.25 | $1,202.26 |
United Setting Facility Modifier None Typical Low $104.71 Median $234.42 Typical High $1,288.25 | Facility | None | $104.71 | $234.42 | $1,288.25 |
United Setting Professional Modifier None Typical Low $467.74 Median $776.25 Typical High $1,071.52 | Professional | None | $467.74 | $776.25 | $1,071.52 |
5 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 $177.83 Median $177.83 Typical High $302.00 | Professional | 52 · Reduced service | $177.83 | $177.83 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $120.23 | Professional | 53 · Discontinued | $70.79 | $70.79 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $263.03 Typical High $446.68 | Professional | 54 · Surgery only | $263.03 | $263.03 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $89.13 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $60.26 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $60.26 |
Where Nebraska sits
The same service costs 4.6 times more in Alaska than in Florida. 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
$871
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.