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 $2,570.40 Median $7,943.28 Typical High $21,877.62 | Facility | None | $2,570.40 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,090.30 | Professional | None | $2,570.40 | $2,570.40 | $3,090.30 |
BCBS Nebraska Setting Facility Modifier None Typical Low $11,481.54 Median $15,135.61 Typical High $30,902.95 | Facility | None | $11,481.54 | $15,135.61 | $30,902.95 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $6,165.95 Typical High $7,943.28 | Professional | None | $4,365.16 | $6,165.95 | $7,943.28 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $977.24 Typical High $5,754.40 | Facility | None | $478.63 | $977.24 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $3,715.35 Median $6,456.54 Typical High $20,892.96 | Professional | None | $3,715.35 | $6,456.54 | $20,892.96 |
Midlands Setting Professional Modifier None Typical Low $5,128.61 Median $6,165.95 Typical High $8,128.31 | Professional | None | $5,128.61 | $6,165.95 | $8,128.31 |
Midlands Setting Professional Modifier None Typical Low $5,128.61 Median $6,309.57 Typical High $8,128.31 | Professional | None | $5,128.61 | $6,309.57 | $8,128.31 |
United Setting Facility Modifier None Typical Low $489.78 Median $891.25 Typical High $3,801.89 | Facility | None | $489.78 | $891.25 | $3,801.89 |
United Setting Professional Modifier None Typical Low $3,715.35 Median $5,754.40 Typical High $7,079.46 | Professional | None | $3,715.35 | $5,754.40 | $7,079.46 |
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 $1,288.25 Median $1,288.25 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $616.60 | Professional | 53 · Discontinued | $512.86 | $512.86 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,905.46 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $457.09 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,778.28 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,778.28 | $2,137.96 |
Where Nebraska sits
The same service costs 21.4 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· 3rd of 51
$6,166
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.