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 $933.25 Median $7,943.28 Typical High $21,877.62 | Facility | None | $933.25 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,445.44 | Professional | None | $933.25 | $933.25 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,165.95 Median $8,128.31 Typical High $16,595.87 | Facility | None | $6,165.95 | $8,128.31 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $2,951.21 | Professional | None | $1,737.80 | $2,344.23 | $2,951.21 |
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 $2,398.83 Typical High $7,762.47 | Professional | None | $1,445.44 | $2,398.83 | $7,762.47 |
Midlands Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $3,090.30 | Professional | None | $1,905.46 | $2,344.23 | $3,090.30 |
Midlands Setting Professional Modifier None Typical Low $1,905.46 Median $2,398.83 Typical High $3,090.30 | Professional | None | $1,905.46 | $2,398.83 | $3,090.30 |
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 $2,137.96 Typical High $2,754.23 | Professional | None | $1,445.44 | $2,137.96 | $2,754.23 |
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 $467.74 Median $467.74 Typical High $562.34 | Professional | 52 · Reduced service | $467.74 | $467.74 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | 53 · Discontinued | $186.21 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $831.76 | Professional | 54 · Surgery only | $707.95 | $707.95 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $165.96 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $112.20 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $776.25 |
Where Nebraska sits
The same service costs 24.5 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
$2,344
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.