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 $1,202.26 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,202.26 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,621.81 | Professional | None | $1,202.26 | $1,202.26 | $1,621.81 |
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 $2,187.76 Median $3,019.95 Typical High $3,715.35 | Professional | None | $2,187.76 | $3,019.95 | $3,715.35 |
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 $1,862.09 Median $3,090.30 Typical High $9,772.37 | Professional | None | $1,862.09 | $3,090.30 | $9,772.37 |
Midlands Setting Professional Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $3,981.07 | Professional | None | $2,398.83 | $3,019.95 | $3,981.07 |
Midlands Setting Professional Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $3,981.07 | Professional | None | $2,398.83 | $3,019.95 | $3,981.07 |
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 $1,862.09 Median $2,754.23 Typical High $3,467.37 | Professional | None | $1,862.09 | $2,754.23 | $3,467.37 |
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 $602.56 Median $602.56 Typical High $707.95 | Professional | 52 · Reduced service | $602.56 | $602.56 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | 53 · Discontinued | $239.88 | $239.88 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $1,071.52 | Professional | 54 · Surgery only | $891.25 | $891.25 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $141.25 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $1,000.00 |
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
$3,020
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.