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 $1,258.93 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,258.93 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,698.24 | Professional | None | $1,258.93 | $1,258.93 | $1,698.24 |
BCBS Nebraska Setting Facility Modifier None Typical Low $7,413.10 Median $9,772.37 Typical High $19,952.62 | Facility | None | $7,413.10 | $9,772.37 | $19,952.62 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $3,162.28 Typical High $3,890.45 | Professional | None | $2,290.87 | $3,162.28 | $3,890.45 |
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 $1,949.84 Median $3,235.94 Typical High $12,022.64 | Professional | None | $1,949.84 | $3,235.94 | $12,022.64 |
Midlands Setting Professional Modifier None Typical Low $2,511.89 Median $3,162.28 Typical High $4,168.69 | Professional | None | $2,511.89 | $3,162.28 | $4,168.69 |
Midlands Setting Professional Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $4,168.69 | Professional | None | $2,511.89 | $3,090.30 | $4,168.69 |
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 $1,949.84 Median $2,818.38 Typical High $3,630.78 | Professional | None | $1,949.84 | $2,818.38 | $3,630.78 |
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 $616.60 Median $616.60 Typical High $741.31 | Professional | 52 · Reduced service | $616.60 | $616.60 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | 53 · Discontinued | $251.19 | $251.19 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $1,122.02 | Professional | 54 · Surgery only | $933.25 | $933.25 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $147.91 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $1,047.13 |
Where Nebraska sits
The same service costs 5.2 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
$3,090
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.