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 $812.83 Median $3,801.89 Typical High $11,481.54 | Facility | None | $812.83 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $812.83 Typical High $1,122.02 | Professional | None | $346.74 | $812.83 | $1,122.02 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,248.07 Median $6,918.31 Typical High $14,125.38 | Facility | None | $5,248.07 | $6,918.31 | $14,125.38 |
BCBS Nebraska Setting Professional Modifier None Typical Low $309.03 Median $562.34 Typical High $758.58 | Professional | None | $309.03 | $562.34 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $2,041.74 | Facility | None | $1,202.26 | $1,412.54 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,778.28 Typical High $2,187.76 | Professional | None | $758.58 | $1,778.28 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $6,456.54 | Facility | None | $831.76 | $1,819.70 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $4,786.30 Typical High $15,488.17 | Professional | None | $1,348.96 | $4,786.30 | $15,488.17 |
Midlands Setting Professional Modifier None Typical Low $851.14 Median $1,995.26 Typical High $2,290.87 | Professional | None | $851.14 | $1,995.26 | $2,290.87 |
Midlands Setting Facility Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $2,041.74 | Facility | None | $1,202.26 | $1,445.44 | $2,041.74 |
Midlands Setting Professional Modifier None Typical Low $724.44 Median $1,778.28 Typical High $2,570.40 | Professional | None | $724.44 | $1,778.28 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,623.41 | Facility | None | $1,174.90 | $1,862.09 | $5,623.41 |
United Setting Professional Modifier None Typical Low $524.81 Median $1,348.96 Typical High $2,344.23 | Professional | None | $524.81 | $1,348.96 | $2,344.23 |
2 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 54 · Surgery only Typical Low $257.04 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $257.04 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $575.44 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $239.88 | $575.44 | $575.44 |
Where Nebraska sits
The same service costs 4.5 times more in North Carolina than in Washington, DC. 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· 40th of 51
$794
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.