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 $1,584.89 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,584.89 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,949.84 | Professional | None | $1,584.89 | $1,584.89 | $1,949.84 |
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 $2,951.21 Median $4,073.80 Typical High $4,897.79 | Professional | None | $2,951.21 | $4,073.80 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $977.24 Typical High $4,365.16 | Facility | None | $478.63 | $977.24 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $2,511.89 Median $4,073.80 Typical High $13,182.57 | Professional | None | $2,511.89 | $4,073.80 | $13,182.57 |
Midlands Setting Professional Modifier None Typical Low $3,162.28 Median $4,073.80 Typical High $5,370.32 | Professional | None | $3,162.28 | $4,073.80 | $5,370.32 |
Midlands Setting Professional Modifier None Typical Low $3,162.28 Median $3,981.07 Typical High $5,370.32 | Professional | None | $3,162.28 | $3,981.07 | $5,370.32 |
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 $2,511.89 Median $3,630.78 Typical High $4,677.35 | Professional | None | $2,511.89 | $3,630.78 | $4,677.35 |
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 $794.33 Median $794.33 Typical High $954.99 | Professional | 52 · Reduced service | $794.33 | $794.33 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $380.19 | Professional | 53 · Discontinued | $316.23 | $316.23 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $190.55 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,348.96 |
Where Nebraska sits
The same service costs 5.4 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
$3,981
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.