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 $4,677.35 Median $7,943.28 Typical High $21,877.62 | Facility | None | $4,677.35 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $2,238.72 | Professional | None | $1,318.26 | $1,318.26 | $2,238.72 |
BCBS Nebraska 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 |
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 $2,570.40 Median $3,162.28 Typical High $3,467.37 | Professional | None | $2,570.40 | $3,162.28 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,090.30 Typical High $8,128.31 | Facility | None | $1,513.56 | $3,090.30 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $3,311.31 Typical High $13,489.63 | Professional | None | $1,778.28 | $3,311.31 | $13,489.63 |
Midlands Setting Professional Modifier None Typical Low $2,570.40 Median $3,311.31 Typical High $4,365.16 | Professional | None | $2,570.40 | $3,311.31 | $4,365.16 |
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 $2,454.71 Median $3,235.94 Typical High $4,466.84 | Professional | None | $2,454.71 | $3,235.94 | $4,466.84 |
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 $1,778.28 Median $2,951.21 Typical High $4,073.80 | Professional | None | $1,778.28 | $2,951.21 | $4,073.80 |
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 $660.69 Median $660.69 Typical High $1,122.02 | Professional | 52 · Reduced service | $660.69 | $660.69 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $446.68 | Professional | 53 · Discontinued | $263.03 | $263.03 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $338.84 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $223.87 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $1,584.89 |
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
$3,311
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.