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 $645.65 Median $7,943.28 Typical High $21,877.62 | Facility | None | $645.65 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,096.48 | Professional | None | $645.65 | $645.65 | $1,096.48 |
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 $5,495.41 Median $6,456.54 Typical High $6,760.83 | Facility | None | $5,495.41 | $6,456.54 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $1,698.24 | Professional | None | $1,318.26 | $1,548.82 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $3,090.30 Typical High $5,623.41 | Facility | None | $1,230.27 | $3,090.30 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,584.89 Typical High $5,370.32 | Professional | None | $851.14 | $1,584.89 | $5,370.32 |
Midlands Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,288.25 | $1,584.89 | $2,089.30 |
Midlands Setting Facility Modifier None Typical Low $5,495.41 Median $6,456.54 Typical High $9,549.93 | Facility | None | $5,495.41 | $6,456.54 | $9,549.93 |
Midlands Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $2,187.76 | Professional | None | $1,202.26 | $1,621.81 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $8,912.51 | Facility | None | $1,698.24 | $3,801.89 | $8,912.51 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,348.96 Typical High $1,737.80 | Professional | None | $851.14 | $1,348.96 | $1,737.80 |
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 $323.59 Median $323.59 Typical High $549.54 | Professional | 52 · Reduced service | $323.59 | $323.59 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $218.78 | Professional | 53 · Discontinued | $128.82 | $128.82 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $831.76 | Professional | 54 · Surgery only | $478.63 | $478.63 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $165.96 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $109.65 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $776.25 |
Where Nebraska sits
The same service costs 8.7 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
$1,585
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.