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 $204.17 Median $3,548.13 Typical High $11,481.54 | Facility | None | $204.17 | $3,548.13 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $446.68 | Professional | None | $181.97 | $239.88 | $446.68 |
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 $162.18 Median $275.42 Typical High $363.08 | Professional | None | $162.18 | $275.42 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $204.17 Typical High $245.47 | Facility | None | $162.18 | $204.17 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $524.81 | Professional | None | $371.54 | $436.52 | $524.81 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $251.19 Typical High $1,288.25 | Facility | None | $102.33 | $251.19 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $512.86 Typical High $1,621.81 | Professional | None | $257.04 | $512.86 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $602.56 | Professional | None | $436.52 | $489.78 | $602.56 |
Midlands Setting Facility Modifier None Typical Low $151.36 Median $204.17 Typical High $251.19 | Facility | None | $151.36 | $204.17 | $251.19 |
Midlands Setting Professional Modifier None Typical Low $338.84 Median $575.44 Typical High $660.69 | Professional | None | $338.84 | $575.44 | $660.69 |
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 $251.19 Median $407.38 Typical High $524.81 | Professional | None | $251.19 | $407.38 | $524.81 |
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 $91.20 Median $100.00 Typical High $154.88 | Professional | 52 · Reduced service | $91.20 | $100.00 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $40.74 Typical High $61.66 | Professional | 53 · Discontinued | $36.31 | $40.74 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $151.36 Typical High $229.09 | Professional | 54 · Surgery only | $138.04 | $151.36 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $30.20 Typical High $45.71 | Professional | 55 · Aftercare only | $27.54 | $30.20 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $20.42 Typical High $30.90 | Professional | 56 · Pre-op care only | $18.20 | $20.42 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $141.25 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $128.82 | $141.25 | $213.80 |
Where Nebraska sits
The same service costs 4.8 times more in Alaska than in Florida. 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
$324
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.