How much rates vary
Facilitymedian $7,079 · 10th to 90th $1,549 to $16,982Professionalmedian $2,884 · 10th to 90th $1,549 to $9,550
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 $5,011.87 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,011.87 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,995.26 | Professional | None | $1,174.90 | $1,174.90 | $1,995.26 |
Ambetter Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $2,238.72 | Professional | None | $302.00 | $302.00 | $2,238.72 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,317.64 Median $10,964.78 Typical High $22,387.21 | Facility | None | $8,317.64 | $10,964.78 | $22,387.21 |
BCBS Nebraska Setting Professional Modifier None Typical Low $13,182.57 Median $14,125.38 Typical High $14,791.08 | Professional | None | $13,182.57 | $14,125.38 | $14,791.08 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $12,302.69 Typical High $16,218.10 | Facility | None | $1,288.25 | $12,302.69 | $16,218.10 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $3,090.30 | Professional | None | $2,344.23 | $2,818.38 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $3,715.35 Typical High $26,302.68 | Facility | None | $1,584.89 | $3,715.35 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,951.21 Typical High $9,549.93 | Professional | None | $1,548.82 | $2,951.21 | $9,549.93 |
Midlands Setting Professional Modifier None Typical Low $2,344.23 Median $2,884.03 Typical High $3,801.89 | Professional | None | $2,344.23 | $2,884.03 | $3,801.89 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $13,182.57 Typical High $16,595.87 | Facility | None | $1,288.25 | $13,182.57 | $16,595.87 |
Midlands Setting Professional Modifier None Typical Low $2,187.76 Median $2,951.21 Typical High $4,073.80 | Professional | None | $2,187.76 | $2,951.21 | $4,073.80 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $9,772.37 | Facility | None | $1,698.24 | $3,801.89 | $9,772.37 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $3,467.37 | Professional | None | $1,548.82 | $2,570.40 | $3,467.37 |
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 $588.84 Median $588.84 Typical High $1,000.00 | Professional | 52 · Reduced service | $588.84 | $588.84 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $398.11 | Professional | 53 · Discontinued | $234.42 | $234.42 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $1,513.56 | Professional | 54 · Surgery only | $891.25 | $891.25 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $302.00 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $199.53 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $1,412.54 |
Where Nebraska sits
The same service costs 7.4 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
$2,884
AK $5,248TX $708
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.