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 $1,778.28 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,778.28 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $3,235.94 | Professional | None | $1,778.28 | $1,778.28 | $3,235.94 |
BCBS Nebraska Setting Facility Modifier None Typical Low $14,791.08 Median $19,498.45 Typical High $39,810.72 | Facility | None | $14,791.08 | $19,498.45 | $39,810.72 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $4,365.16 Typical High $5,888.44 | Professional | None | $3,630.78 | $4,365.16 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $954.99 Typical High $4,365.16 | Facility | None | $478.63 | $954.99 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $2,691.53 Median $4,786.30 Typical High $15,135.61 | Professional | None | $2,691.53 | $4,786.30 | $15,135.61 |
Midlands Setting Professional Modifier None Typical Low $3,630.78 Median $4,365.16 Typical High $5,888.44 | Professional | None | $3,630.78 | $4,365.16 | $5,888.44 |
Midlands Setting Professional Modifier None Typical Low $3,630.78 Median $4,466.84 Typical High $5,888.44 | Professional | None | $3,630.78 | $4,466.84 | $5,888.44 |
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 $2,691.53 Median $4,073.80 Typical High $5,128.61 | Professional | None | $2,691.53 | $4,073.80 | $5,128.61 |
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 $891.25 Median $891.25 Typical High $1,258.93 | Professional | 52 · Reduced service | $891.25 | $891.25 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $501.19 | Professional | 53 · Discontinued | $354.81 | $354.81 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,318.26 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,318.26 | $1,318.26 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $380.19 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $251.19 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,230.27 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,230.27 | $1,778.28 |
Where Nebraska sits
The same service costs 9.8 times more in Alaska than in Kentucky. 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· 6th of 51
$4,365
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.