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 $1,778.28 Median $1,995.26 Typical High $3,467.37 | Professional | None | $1,778.28 | $1,995.26 | $3,467.37 |
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 |
BCBS Nebraska Setting Professional Modifier None Typical Low $5,370.32 Median $7,413.10 Typical High $8,317.64 | Professional | None | $5,370.32 | $7,413.10 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $17,378.01 Median $20,417.38 Typical High $21,877.62 | Facility | None | $17,378.01 | $20,417.38 | $21,877.62 |
Cigna Setting Professional Modifier None Typical Low $4,073.80 Median $4,677.35 Typical High $5,128.61 | Professional | None | $4,073.80 | $4,677.35 | $5,128.61 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $3,715.35 Typical High $9,772.37 | Facility | None | $1,819.70 | $3,715.35 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $2,630.27 Median $5,011.87 Typical High $16,218.10 | Professional | None | $2,630.27 | $5,011.87 | $16,218.10 |
Midlands Setting Professional Modifier None Typical Low $4,073.80 Median $4,897.79 Typical High $6,456.54 | Professional | None | $4,073.80 | $4,897.79 | $6,456.54 |
Midlands Setting Facility Modifier None Typical Low $17,378.01 Median $20,417.38 Typical High $30,199.52 | Facility | None | $17,378.01 | $20,417.38 | $30,199.52 |
Midlands Setting Professional Modifier None Typical Low $3,630.78 Median $5,128.61 Typical High $7,244.36 | Professional | None | $3,630.78 | $5,128.61 | $7,244.36 |
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 $2,630.27 Median $4,365.16 Typical High $5,888.44 | Professional | None | $2,630.27 | $4,365.16 | $5,888.44 |
2 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 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,479.11 | $1,479.11 | $2,570.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,380.38 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,380.38 | $2,398.83 |
Where Nebraska sits
The same service costs 8.1 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
$4,898
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.