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 $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,380.38 | Professional | None | $645.65 | $645.65 | $1,380.38 |
BCBS Setting Facility Modifier None Typical Low $7,079.46 Median $9,332.54 Typical High $19,054.61 | Facility | None | $7,079.46 | $9,332.54 | $19,054.61 |
BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $3,162.28 | Professional | None | $2,454.71 | $2,570.40 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,398.83 Typical High $3,715.35 | Facility | None | $1,096.48 | $2,398.83 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $1,659.59 | Professional | None | $1,288.25 | $1,513.56 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $11,748.98 | Facility | None | $1,096.48 | $1,819.70 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,584.89 Typical High $5,754.40 | Professional | None | $831.76 | $1,584.89 | $5,754.40 |
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 $1,096.48 Median $2,630.27 Typical High $3,981.07 | Facility | None | $1,096.48 | $2,630.27 | $3,981.07 |
Midlands Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,174.90 | $1,584.89 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,174.90 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,380.38 Typical High $1,905.46 | Professional | None | $831.76 | $1,380.38 | $1,905.46 |
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 $812.83 | Professional | 54 · Surgery only | $478.63 | $478.63 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $162.18 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $162.18 |
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 $758.58 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $758.58 |
Where Nebraska sits
The same service costs 8.5 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.