How much rates vary
Facilitymedian $372 · 10th to 90th $129 to $5,888Professionalmedian $794 · 10th to 90th $437 to $1,259
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 $489.78 Median $3,801.89 Typical High $11,481.54 | Facility | None | $489.78 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $831.76 | Professional | None | $457.09 | $489.78 | $831.76 |
Ambetter Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,388.44 Median $4,570.88 Typical High $9,120.11 | Facility | None | $3,388.44 | $4,570.88 | $9,120.11 |
BCBS Nebraska Setting Professional Modifier None Typical Low $389.05 Median $676.08 Typical High $912.01 | Professional | None | $389.05 | $676.08 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $645.65 | Facility | None | $162.18 | $213.80 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,258.93 | Professional | None | $912.01 | $1,071.52 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $302.00 Typical High $1,995.26 | Facility | None | $114.82 | $302.00 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $1,230.27 Typical High $3,890.45 | Professional | None | $616.60 | $1,230.27 | $3,890.45 |
Midlands Setting Professional Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $1,412.54 | Professional | None | $1,071.52 | $1,148.15 | $1,412.54 |
Midlands Setting Facility Modifier None Typical Low $162.18 Median $218.78 Typical High $645.65 | Facility | None | $162.18 | $218.78 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $851.14 Median $1,412.54 Typical High $1,621.81 | Professional | None | $851.14 | $1,412.54 | $1,621.81 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $616.60 Median $1,023.29 Typical High $1,288.25 | Professional | None | $616.60 | $1,023.29 | $1,288.25 |
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 $229.09 Median $245.47 Typical High $389.05 | Professional | 52 · Reduced service | $229.09 | $245.47 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $97.72 Typical High $154.88 | Professional | 53 · Discontinued | $91.20 | $97.72 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $363.08 Typical High $575.44 | Professional | 54 · Surgery only | $338.84 | $363.08 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $72.44 Typical High $114.82 | Professional | 55 · Aftercare only | $67.61 | $72.44 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $48.98 Typical High $77.62 | Professional | 56 · Pre-op care only | $45.71 | $48.98 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $338.84 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $316.23 | $338.84 | $537.03 |
Where Nebraska sits
The same service costs 5.8 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· 13th of 51
$776
AK $2,042TX $355
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.