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 $229.09 Median $3,801.89 Typical High $11,481.54 | Facility | None | $229.09 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $389.05 | Professional | None | $229.09 | $229.09 | $389.05 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,388.44 Median $4,570.88 Typical High $9,120.11 | Facility | None | $3,388.44 | $4,570.88 | $9,120.11 |
BCBS Nebraska Setting Professional Modifier None Typical Low $199.53 Median $354.81 Typical High $489.78 | Professional | None | $199.53 | $354.81 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,258.93 Typical High $1,584.89 | Facility | None | $645.65 | $1,258.93 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $602.56 | Professional | None | $446.68 | $524.81 | $602.56 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $1,258.93 Typical High $4,786.30 | Facility | None | $426.58 | $1,258.93 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $588.84 Typical High $1,862.09 | Professional | None | $288.40 | $588.84 | $1,862.09 |
Midlands Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $707.95 | Professional | None | $524.81 | $524.81 | $707.95 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $1,318.26 Typical High $1,621.81 | Facility | None | $645.65 | $1,318.26 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $426.58 Median $660.69 Typical High $758.58 | Professional | None | $426.58 | $660.69 | $758.58 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $288.40 Median $478.63 Typical High $616.60 | Professional | None | $288.40 | $478.63 | $616.60 |
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 $114.82 Median $114.82 Typical High $194.98 | Professional | 52 · Reduced service | $114.82 | $114.82 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $77.62 | Professional | 53 · Discontinued | $45.71 | $45.71 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $288.40 | Professional | 54 · Surgery only | $173.78 | $173.78 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $57.54 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $38.90 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $162.18 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $162.18 | $162.18 | $269.15 |
Where Nebraska sits
The same service costs 5.4 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· 10th of 51
$447
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.