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 $1,096.48 Median $1,096.48 Typical High $1,905.46 | Professional | None | $1,096.48 | $1,096.48 | $1,905.46 |
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 $7,244.36 Median $8,317.64 Typical High $8,912.51 | Facility | None | $7,244.36 | $8,317.64 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,630.27 Typical High $2,884.03 | Professional | None | $2,187.76 | $2,630.27 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,090.30 Typical High $7,079.46 | Facility | None | $1,513.56 | $3,090.30 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $1,479.11 Median $2,754.23 Typical High $10,715.19 | Professional | None | $1,479.11 | $2,754.23 | $10,715.19 |
Midlands Setting Professional Modifier None Typical Low $2,187.76 Median $2,754.23 Typical High $3,630.78 | Professional | None | $2,187.76 | $2,754.23 | $3,630.78 |
Midlands Setting Facility Modifier None Typical Low $7,244.36 Median $8,317.64 Typical High $12,302.69 | Facility | None | $7,244.36 | $8,317.64 | $12,302.69 |
Midlands Setting Professional Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $3,715.35 | Professional | None | $2,041.74 | $2,754.23 | $3,715.35 |
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 $1,479.11 Median $2,454.71 Typical High $3,311.31 | Professional | None | $1,479.11 | $2,454.71 | $3,311.31 |
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 $549.54 Median $549.54 Typical High $933.25 | Professional | 52 · Reduced service | $549.54 | $549.54 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $380.19 | Professional | 53 · Discontinued | $223.87 | $223.87 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $1,412.54 | Professional | 54 · Surgery only | $831.76 | $831.76 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $281.84 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $190.55 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $1,318.26 |
Where Nebraska sits
The same service costs 8.7 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
$2,754
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.