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 $2,187.76 Median $7,943.28 Typical High $21,877.62 | Facility | None | $2,187.76 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,884.03 | Professional | None | $2,187.76 | $2,187.76 | $2,884.03 |
BCBS Nebraska Setting Facility Modifier None Typical Low $9,772.37 Median $12,882.50 Typical High $26,302.68 | Facility | None | $9,772.37 | $12,882.50 | $26,302.68 |
Cigna Setting Professional Modifier None Typical Low $3,981.07 Median $5,495.41 Typical High $6,760.83 | Professional | None | $3,981.07 | $5,495.41 | $6,760.83 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $977.24 Typical High $5,128.61 | Facility | None | $478.63 | $977.24 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $3,388.44 Median $5,623.41 Typical High $17,782.79 | Professional | None | $3,388.44 | $5,623.41 | $17,782.79 |
Midlands Setting Professional Modifier None Typical Low $4,365.16 Median $5,495.41 Typical High $7,244.36 | Professional | None | $4,365.16 | $5,495.41 | $7,244.36 |
Midlands Setting Professional Modifier None Typical Low $4,365.16 Median $5,370.32 Typical High $7,244.36 | Professional | None | $4,365.16 | $5,370.32 | $7,244.36 |
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 $3,388.44 Median $4,897.79 Typical High $6,309.57 | Professional | None | $3,388.44 | $4,897.79 | $6,309.57 |
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 $1,071.52 Median $1,071.52 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $524.81 | Professional | 53 · Discontinued | $436.52 | $436.52 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,621.81 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,621.81 | $1,621.81 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $389.05 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $257.04 | Professional | 56 · Pre-op care only | $218.78 | $218.78 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,513.56 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $1,819.70 |
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
$5,370
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.