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 $3,162.28 Median $7,943.28 Typical High $21,877.62 | Facility | None | $3,162.28 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $4,168.69 | Professional | None | $3,162.28 | $3,162.28 | $4,168.69 |
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 $7,762.47 Median $7,762.47 Typical High $9,772.37 | Professional | None | $7,762.47 | $7,762.47 | $9,772.37 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $977.24 Typical High $6,025.60 | Facility | None | $478.63 | $977.24 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $4,897.79 Median $8,128.31 Typical High $25,703.96 | Professional | None | $4,897.79 | $8,128.31 | $25,703.96 |
Midlands Setting Professional Modifier None Typical Low $6,309.57 Median $7,943.28 Typical High $10,471.29 | Professional | None | $6,309.57 | $7,943.28 | $10,471.29 |
Midlands Setting Professional Modifier None Typical Low $6,309.57 Median $7,943.28 Typical High $10,471.29 | Professional | None | $6,309.57 | $7,943.28 | $10,471.29 |
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 $4,897.79 Median $7,079.46 Typical High $9,120.11 | Professional | None | $4,897.79 | $7,079.46 | $9,120.11 |
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 $1,584.89 Median $1,584.89 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $758.58 | Professional | 53 · Discontinued | $630.96 | $630.96 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $2,818.38 | Professional | 54 · Surgery only | $2,344.23 | $2,344.23 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $562.34 | Professional | 55 · Aftercare only | $467.74 | $467.74 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $316.23 Typical High $380.19 | Professional | 56 · Pre-op care only | $316.23 | $316.23 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,187.76 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,187.76 | $2,630.27 |
Where Nebraska sits
The same service costs 27.5 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
$7,762
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.