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 $1,000.00 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,000.00 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,445.44 | Professional | None | $1,000.00 | $1,000.00 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $9,549.93 Median $12,882.50 Typical High $25,703.96 | Facility | None | $9,549.93 | $12,882.50 | $25,703.96 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $3,235.94 | Professional | None | $2,041.74 | $2,511.89 | $3,235.94 |
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 $1,445.44 Median $2,691.53 Typical High $8,511.38 | Professional | None | $1,445.44 | $2,691.53 | $8,511.38 |
Midlands Setting Professional Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $3,311.31 | Professional | None | $2,041.74 | $2,511.89 | $3,311.31 |
Midlands Setting Professional Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $3,311.31 | Professional | None | $2,041.74 | $2,511.89 | $3,311.31 |
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 $1,445.44 Median $2,398.83 Typical High $2,818.38 | Professional | None | $1,445.44 | $2,398.83 | $2,818.38 |
3 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 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $891.25 | Professional | 54 · Surgery only | $758.58 | $758.58 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $120.23 |
Where Nebraska sits
The same service costs 5.6 times more in Alaska than in New York. 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· 4th of 51
$2,512
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.