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 $676.08 Median $7,943.28 Typical High $21,877.62 | Facility | None | $676.08 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,148.15 | Professional | None | $676.08 | $676.08 | $1,148.15 |
BCBS Nebraska Setting Facility Modifier None Typical Low $14,454.40 Median $19,498.45 Typical High $39,810.72 | Facility | None | $14,454.40 | $19,498.45 | $39,810.72 |
Cigna Setting Facility Modifier None Typical Low $10,232.93 Median $12,022.64 Typical High $12,589.25 | Facility | None | $10,232.93 | $12,022.64 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $1,737.80 | Professional | None | $1,348.96 | $1,621.81 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $3,090.30 Typical High $6,025.60 | Facility | None | $1,258.93 | $3,090.30 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,659.59 Typical High $5,495.41 | Professional | None | $891.25 | $1,659.59 | $5,495.41 |
Midlands Setting Professional Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,348.96 | $1,659.59 | $2,187.76 |
Midlands Setting Facility Modifier None Typical Low $10,232.93 Median $12,022.64 Typical High $17,378.01 | Facility | None | $10,232.93 | $12,022.64 | $17,378.01 |
Midlands Setting Professional Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,258.93 | $1,659.59 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $9,772.37 | Facility | None | $1,698.24 | $3,801.89 | $9,772.37 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,479.11 Typical High $1,995.26 | Professional | None | $891.25 | $1,479.11 | $1,995.26 |
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 $338.84 Median $338.84 Typical High $575.44 | Professional | 52 · Reduced service | $338.84 | $338.84 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $229.09 | Professional | 53 · Discontinued | $134.90 | $134.90 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $851.14 | Professional | 54 · Surgery only | $501.19 | $501.19 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $169.82 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $114.82 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $794.33 |
Where Nebraska sits
The same service costs 8.3 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
$1,660
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.