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 $891.25 Median $7,943.28 Typical High $21,877.62 | Facility | None | $891.25 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,445.44 | Professional | None | $891.25 | $891.25 | $1,445.44 |
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 $1,621.81 Median $2,238.72 Typical High $2,818.38 | Professional | None | $1,621.81 | $2,238.72 | $2,818.38 |
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 $1,380.38 Median $2,290.87 Typical High $7,244.36 | Professional | None | $1,380.38 | $2,290.87 | $7,244.36 |
Midlands Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,951.21 | Professional | None | $1,905.46 | $2,238.72 | $2,951.21 |
Midlands Setting Professional Modifier None Typical Low $1,862.09 Median $2,344.23 Typical High $2,951.21 | Professional | None | $1,862.09 | $2,344.23 | $2,951.21 |
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 $1,380.38 Median $2,041.74 Typical High $2,630.27 | Professional | None | $1,380.38 | $2,041.74 | $2,630.27 |
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 $446.68 Median $446.68 Typical High $524.81 | Professional | 52 · Reduced service | $446.68 | $446.68 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | 53 · Discontinued | $177.83 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | 54 · Surgery only | $676.08 | $676.08 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $741.31 |
Where Nebraska sits
The same service costs 4.9 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
$2,239
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.