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 $1,380.38 Median $1,380.38 Typical High $2,344.23 | Professional | None | $1,380.38 | $1,380.38 | $2,344.23 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,128.31 Median $10,715.19 Typical High $21,877.62 | Facility | None | $8,128.31 | $10,715.19 | $21,877.62 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $3,019.95 | Facility | None | $2,454.71 | $2,884.03 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $3,311.31 Typical High $3,630.78 | Professional | None | $2,691.53 | $3,311.31 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $3,090.30 Typical High $8,128.31 | Facility | None | $1,479.11 | $3,090.30 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $3,548.13 Typical High $11,220.18 | Professional | None | $1,862.09 | $3,548.13 | $11,220.18 |
Midlands Setting Professional Modifier None Typical Low $2,691.53 Median $3,467.37 Typical High $4,570.88 | Professional | None | $2,691.53 | $3,467.37 | $4,570.88 |
Midlands Setting Facility Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $4,265.80 | Facility | None | $2,454.71 | $2,884.03 | $4,265.80 |
Midlands Setting Professional Modifier None Typical Low $2,570.40 Median $3,388.44 Typical High $4,786.30 | Professional | None | $2,570.40 | $3,388.44 | $4,786.30 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $7,244.36 | Facility | None | $1,698.24 | $3,801.89 | $7,244.36 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $3,090.30 Typical High $4,168.69 | Professional | None | $1,862.09 | $3,090.30 | $4,168.69 |
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 $691.83 Median $691.83 Typical High $1,174.90 | Professional | 52 · Reduced service | $691.83 | $691.83 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $478.63 | Professional | 53 · Discontinued | $275.42 | $275.42 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $354.81 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $234.42 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $1,659.59 |
Where Nebraska sits
The same service costs 8.5 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
$3,388
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.