How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,479 to $12,303Professionalmedian $7,413 · 10th to 90th $3,388 to $11,749
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 $5,011.87 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,011.87 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $5,888.44 | Professional | None | $3,388.44 | $3,388.44 | $5,888.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,511.38 Median $11,220.18 Typical High $22,908.68 | Facility | None | $8,511.38 | $11,220.18 | $22,908.68 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,513.56 Median $2,089.30 Typical High $2,344.23 | Professional | None | $1,513.56 | $2,089.30 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $7,079.46 Median $8,128.31 Typical High $8,709.64 | Facility | None | $7,079.46 | $8,128.31 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $6,606.93 Median $7,762.47 Typical High $8,912.51 | Professional | None | $6,606.93 | $7,762.47 | $8,912.51 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $2,818.38 Typical High $7,413.10 | Facility | None | $1,096.48 | $2,818.38 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $4,570.88 Median $8,709.64 Typical High $27,542.29 | Professional | None | $4,570.88 | $8,709.64 | $27,542.29 |
Midlands Setting Professional Modifier None Typical Low $6,606.93 Median $8,511.38 Typical High $11,220.18 | Professional | None | $6,606.93 | $8,511.38 | $11,220.18 |
Midlands Setting Facility Modifier None Typical Low $7,079.46 Median $8,128.31 Typical High $12,022.64 | Facility | None | $7,079.46 | $8,128.31 | $12,022.64 |
Midlands Setting Professional Modifier None Typical Low $6,309.57 Median $8,317.64 Typical High $11,748.98 | Professional | None | $6,309.57 | $8,317.64 | $11,748.98 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $8,912.51 | Facility | None | $1,380.38 | $3,019.95 | $8,912.51 |
United Setting Professional Modifier None Typical Low $4,570.88 Median $7,244.36 Typical High $9,332.54 | Professional | None | $4,570.88 | $7,244.36 | $9,332.54 |
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 $1,698.24 Median $1,698.24 Typical High $2,951.21 | Professional | 52 · Reduced service | $1,698.24 | $1,698.24 | $2,951.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $691.83 Typical High $1,174.90 | Professional | 53 · Discontinued | $691.83 | $691.83 | $1,174.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,570.40 Median $2,570.40 Typical High $4,365.16 | Professional | 54 · Surgery only | $2,570.40 | $2,570.40 | $4,365.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $512.86 Typical High $870.96 | Professional | 55 · Aftercare only | $512.86 | $512.86 | $870.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $338.84 Typical High $588.84 | Professional | 56 · Pre-op care only | $338.84 | $338.84 | $588.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,398.83 Median $2,398.83 Typical High $4,073.80 | Professional | 78 · Unplanned return to OR | $2,398.83 | $2,398.83 | $4,073.80 |
Where Nebraska sits
The same service costs 20.4 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
$7,244
AK $15,488TX $759
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.