How much rates vary
Facilitymedian $6,918 · 10th to 90th $2,089 to $11,482Professionalmedian $3,631 · 10th to 90th $2,089 to $5,248
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 $1,548.82 Median $1,548.82 Typical High $2,630.27 | Professional | None | $1,548.82 | $1,548.82 | $2,630.27 |
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 $2,041.74 Median $2,137.96 Typical High $2,290.87 | Professional | None | $2,041.74 | $2,137.96 | $2,290.87 |
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 $2,951.21 Median $3,715.35 Typical High $3,981.07 | Professional | None | $2,951.21 | $3,715.35 | $3,981.07 |
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 $2,089.30 Median $3,890.45 Typical High $16,982.44 | Professional | None | $2,089.30 | $3,890.45 | $16,982.44 |
Midlands Setting Professional Modifier None Typical Low $2,951.21 Median $3,890.45 Typical High $5,128.61 | Professional | None | $2,951.21 | $3,890.45 | $5,128.61 |
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 $2,818.38 Median $3,715.35 Typical High $5,248.07 | Professional | None | $2,818.38 | $3,715.35 | $5,248.07 |
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 $2,089.30 Median $3,388.44 Typical High $4,677.35 | Professional | None | $2,089.30 | $3,388.44 | $4,677.35 |
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 $776.25 Median $776.25 Typical High $1,318.26 | Professional | 52 · Reduced service | $776.25 | $776.25 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $524.81 | Professional | 53 · Discontinued | $309.03 | $309.03 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $398.11 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $263.03 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,819.70 |
Where Nebraska sits
The same service costs 9.3 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
$3,715
AK $6,918TX $741
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.