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 $1,513.56 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,513.56 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,513.56 | $1,513.56 | $1,995.26 |
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 $2,818.38 Median $3,890.45 Typical High $4,786.30 | Professional | None | $2,818.38 | $3,890.45 | $4,786.30 |
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 $2,398.83 Median $3,981.07 Typical High $12,589.25 | Professional | None | $2,398.83 | $3,981.07 | $12,589.25 |
Midlands Setting Professional Modifier None Typical Low $3,090.30 Median $3,890.45 Typical High $5,128.61 | Professional | None | $3,090.30 | $3,890.45 | $5,128.61 |
Midlands Setting Professional Modifier None Typical Low $3,090.30 Median $3,801.89 Typical High $5,128.61 | Professional | None | $3,090.30 | $3,801.89 | $5,128.61 |
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 $2,398.83 Median $3,467.37 Typical High $4,466.84 | Professional | None | $2,398.83 | $3,467.37 | $4,466.84 |
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 $758.58 Median $758.58 Typical High $912.01 | Professional | 52 · Reduced service | $758.58 | $758.58 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | 53 · Discontinued | $302.00 | $302.00 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,380.38 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $275.42 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,288.25 |
Where Nebraska sits
The same service costs 5.4 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
$3,802
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.