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 $1,548.82 Median $4,365.16 Typical High $11,481.54 | Facility | None | $1,548.82 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $954.99 | Professional | None | $95.50 | $95.50 | $954.99 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $3,019.95 | Facility | None | $1,096.48 | $1,479.11 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $275.42 | Professional | None | $169.82 | $234.42 | $275.42 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $234.42 Typical High $1,202.26 | Facility | None | $102.33 | $234.42 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $234.42 Typical High $724.44 | Professional | None | $128.82 | $234.42 | $724.44 |
Midlands Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $309.03 | Professional | None | $169.82 | $245.47 | $309.03 |
Midlands Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $309.03 | Professional | None | $169.82 | $208.93 | $309.03 |
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 $128.82 Median $213.80 Typical High $275.42 | Professional | None | $128.82 | $213.80 | $275.42 |
5 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 $47.86 Median $47.86 Typical High $58.88 | Professional | 52 · Reduced service | $47.86 | $47.86 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $23.44 | Professional | 53 · Discontinued | $19.05 | $19.05 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | 54 · Surgery only | $72.44 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $17.78 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $12.02 | Professional | 56 · Pre-op care only | $9.55 | $9.55 | $12.02 |
Where Nebraska sits
The same service costs 4.0 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· 4th of 51
$224
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.