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 $1,023.29 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,023.29 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,513.56 | Professional | None | $1,023.29 | $1,023.29 | $1,513.56 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,912.51 Median $12,022.64 Typical High $24,547.09 | Facility | None | $8,912.51 | $12,022.64 | $24,547.09 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $3,162.28 | Professional | None | $1,905.46 | $2,570.40 | $3,162.28 |
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 $1,584.89 Median $2,630.27 Typical High $8,317.64 | Professional | None | $1,584.89 | $2,630.27 | $8,317.64 |
Midlands Setting Professional Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $3,388.44 | Professional | None | $2,089.30 | $2,570.40 | $3,388.44 |
Midlands Setting Professional Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $3,388.44 | Professional | None | $2,089.30 | $2,570.40 | $3,388.44 |
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 $1,584.89 Median $2,344.23 Typical High $2,951.21 | Professional | None | $1,584.89 | $2,344.23 | $2,951.21 |
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 $512.86 Median $512.86 Typical High $602.56 | Professional | 52 · Reduced service | $512.86 | $512.86 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $245.47 | Professional | 53 · Discontinued | $204.17 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | 54 · Surgery only | $758.58 | $758.58 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $181.97 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $851.14 |
Where Nebraska sits
The same service costs 5.6 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
$2,570
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.