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 $1,479.11 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,479.11 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,511.89 | Professional | None | $1,479.11 | $1,479.11 | $2,511.89 |
BCBS Nebraska Setting Facility Modifier None Typical Low $26,915.35 Median $35,481.34 Typical High $72,443.60 | Facility | None | $26,915.35 | $35,481.34 | $72,443.60 |
Cigna Setting Facility Modifier None Typical Low $13,803.84 Median $16,218.10 Typical High $16,982.44 | Facility | None | $13,803.84 | $16,218.10 | $16,982.44 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $3,467.37 Typical High $3,801.89 | Professional | None | $2,951.21 | $3,467.37 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $3,311.31 Typical High $10,471.29 | Facility | None | $1,659.59 | $3,311.31 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $1,949.84 Median $3,715.35 Typical High $14,454.40 | Professional | None | $1,949.84 | $3,715.35 | $14,454.40 |
Midlands Setting Professional Modifier None Typical Low $2,818.38 Median $3,715.35 Typical High $4,897.79 | Professional | None | $2,818.38 | $3,715.35 | $4,897.79 |
Midlands Setting Facility Modifier None Typical Low $13,803.84 Median $16,218.10 Typical High $23,988.33 | Facility | None | $13,803.84 | $16,218.10 | $23,988.33 |
Midlands Setting Professional Modifier None Typical Low $2,691.53 Median $3,548.13 Typical High $5,011.87 | Professional | None | $2,691.53 | $3,548.13 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $3,981.07 Typical High $13,803.84 | Facility | None | $1,819.70 | $3,981.07 | $13,803.84 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $3,235.94 Typical High $4,466.84 | Professional | None | $1,949.84 | $3,235.94 | $4,466.84 |
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 $741.31 Median $741.31 Typical High $1,258.93 | Professional | 52 · Reduced service | $741.31 | $741.31 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $501.19 | Professional | 53 · Discontinued | $295.12 | $295.12 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $371.54 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $251.19 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $1,737.80 |
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
$3,631
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.