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 $2,041.74 Median $7,943.28 Typical High $21,877.62 | Facility | None | $2,041.74 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,691.53 | Professional | None | $2,041.74 | $2,041.74 | $2,691.53 |
BCBS Nebraska Setting Facility Modifier None Typical Low $12,882.50 Median $16,982.44 Typical High $34,673.69 | Facility | None | $12,882.50 | $16,982.44 | $34,673.69 |
Cigna Setting Professional Modifier None Typical Low $3,715.35 Median $5,128.61 Typical High $6,309.57 | Professional | None | $3,715.35 | $5,128.61 | $6,309.57 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $977.24 Typical High $4,677.35 | Facility | None | $478.63 | $977.24 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $3,162.28 Median $5,248.07 Typical High $16,595.87 | Professional | None | $3,162.28 | $5,248.07 | $16,595.87 |
Midlands Setting Professional Modifier None Typical Low $3,981.07 Median $5,128.61 Typical High $6,760.83 | Professional | None | $3,981.07 | $5,128.61 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $6,760.83 | Professional | None | $3,981.07 | $5,011.87 | $6,760.83 |
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 $3,162.28 Median $4,570.88 Typical High $5,888.44 | Professional | None | $3,162.28 | $4,570.88 | $5,888.44 |
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 $1,000.00 Median $1,000.00 Typical High $1,202.26 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $489.78 | Professional | 53 · Discontinued | $407.38 | $407.38 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,513.56 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,513.56 | $1,513.56 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | 55 · Aftercare only | $302.00 | $302.00 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,412.54 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,412.54 | $1,698.24 |
Where Nebraska sits
The same service costs 22.4 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
$5,012
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.