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 $1,122.02 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,122.02 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,584.89 | Professional | None | $1,122.02 | $1,122.02 | $1,584.89 |
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 $2,089.30 Median $2,818.38 Typical High $3,548.13 | Professional | None | $2,089.30 | $2,818.38 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,691.53 Typical High $7,413.10 | Facility | None | $1,258.93 | $2,691.53 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $2,951.21 Typical High $11,748.98 | Professional | None | $1,778.28 | $2,951.21 | $11,748.98 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $3,801.89 | Professional | None | $2,290.87 | $2,818.38 | $3,801.89 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $3,801.89 | Professional | None | $2,290.87 | $2,818.38 | $3,801.89 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $7,413.10 | Facility | None | $1,380.38 | $3,019.95 | $7,413.10 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,570.40 Typical High $3,311.31 | Professional | None | $1,778.28 | $2,570.40 | $3,311.31 |
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 $562.34 Median $562.34 Typical High $676.08 | Professional | 52 · Reduced service | $562.34 | $562.34 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | 53 · Discontinued | $229.09 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $1,023.29 | Professional | 54 · Surgery only | $851.14 | $851.14 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $954.99 |
Where Nebraska sits
The same service costs 26.3 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· 5th of 51
$2,818
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.