How much rates vary
Facilitymedian $1,445 · 10th to 90th $794 to $7,244Professionalmedian $575 · 10th to 90th $295 to $1,122
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 $426.58 Median $4,466.84 Typical High $11,481.54 | Facility | None | $426.58 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $512.86 Typical High $1,122.02 | Professional | None | $295.12 | $512.86 | $1,122.02 |
Ambetter Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,677.35 Median $6,309.57 Typical High $12,589.25 | Facility | None | $4,677.35 | $6,309.57 | $12,589.25 |
BCBS Nebraska Setting Professional Modifier None Typical Low $257.04 Median $457.09 Typical High $630.96 | Professional | None | $257.04 | $457.09 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,513.56 | Facility | None | $851.14 | $1,096.48 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $912.01 Typical High $1,096.48 | Professional | None | $616.60 | $912.01 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,122.02 Typical High $3,981.07 | Facility | None | $588.84 | $1,122.02 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $1,096.48 Typical High $3,388.44 | Professional | None | $575.44 | $1,096.48 | $3,388.44 |
Midlands Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,148.15 | Professional | None | $724.44 | $977.24 | $1,148.15 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,122.02 Typical High $1,621.81 | Facility | None | $954.99 | $1,122.02 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $549.54 Median $977.24 Typical High $1,412.54 | Professional | None | $549.54 | $977.24 | $1,412.54 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $416.87 Median $707.95 Typical High $1,174.90 | Professional | None | $416.87 | $707.95 | $1,174.90 |
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 $147.91 Median $208.93 Typical High $245.47 | Professional | 52 · Reduced service | $147.91 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $85.11 Typical High $97.72 | Professional | 53 · Discontinued | $58.88 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $316.23 Typical High $371.54 | Professional | 54 · Surgery only | $218.78 | $316.23 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $63.10 Typical High $74.13 | Professional | 55 · Aftercare only | $43.65 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $42.66 Typical High $48.98 | Professional | 56 · Pre-op care only | $29.51 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $295.12 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $204.17 | $295.12 | $346.74 |
Where Nebraska sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 12th of 51
$589
AK $1,413UT $288
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.