How much rates vary
Facilitymedian $6,918 · 10th to 90th $2,089 to $11,482Professionalmedian $3,388 · 10th to 90th $1,905 to $5,754
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 $1,445.44 Median $1,445.44 Typical High $2,454.71 | Professional | None | $1,445.44 | $1,445.44 | $2,454.71 |
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 |
BCBS Nebraska Setting Professional Modifier None Typical Low $2,754.23 Median $4,265.80 Typical High $5,754.40 | Professional | None | $2,754.23 | $4,265.80 | $5,754.40 |
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 $2,754.23 Median $3,388.44 Typical High $3,715.35 | Professional | None | $2,754.23 | $3,388.44 | $3,715.35 |
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 $1,905.46 Median $3,630.78 Typical High $15,135.61 | Professional | None | $1,905.46 | $3,630.78 | $15,135.61 |
Midlands Setting Professional Modifier None Typical Low $2,754.23 Median $3,630.78 Typical High $4,786.30 | Professional | None | $2,754.23 | $3,630.78 | $4,786.30 |
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 $2,630.27 Median $3,467.37 Typical High $4,897.79 | Professional | None | $2,630.27 | $3,467.37 | $4,897.79 |
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 $1,905.46 Median $3,162.28 Typical High $4,365.16 | Professional | None | $1,905.46 | $3,162.28 | $4,365.16 |
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 $707.95 Median $707.95 Typical High $1,230.27 | Professional | 52 · Reduced service | $707.95 | $707.95 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $489.78 | Professional | 53 · Discontinued | $288.40 | $288.40 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $363.08 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $245.47 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,698.24 |
Where Nebraska sits
The same service costs 8.9 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
$3,548
AK $6,457TX $724
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.