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 $93.33 Median $7,943.28 Typical High $21,877.62 | Facility | None | $93.33 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $169.82 | Professional | None | $93.33 | $93.33 | $169.82 |
BCBS Nebraska Setting Facility Modifier None Typical Low $338.84 Median $446.68 Typical High $912.01 | Facility | None | $338.84 | $446.68 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $239.88 Typical High $302.00 | Professional | None | $177.83 | $239.88 | $302.00 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $794.33 Typical High $3,715.35 | Facility | None | $177.83 | $794.33 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $239.88 Typical High $1,071.52 | Professional | None | $147.91 | $239.88 | $1,071.52 |
Midlands Setting Professional Modifier None Typical Low $177.83 Median $239.88 Typical High $316.23 | Professional | None | $177.83 | $239.88 | $316.23 |
Midlands Setting Professional Modifier None Typical Low $177.83 Median $223.87 Typical High $316.23 | Professional | None | $177.83 | $223.87 | $316.23 |
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 $147.91 Median $213.80 Typical High $275.42 | Professional | None | $147.91 | $213.80 | $275.42 |
5 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 $45.71 Median $45.71 Typical High $56.23 | Professional | 52 · Reduced service | $45.71 | $45.71 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $22.39 | Professional | 53 · Discontinued | $18.62 | $18.62 | $22.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | 54 · Surgery only | $69.18 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $16.60 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $11.22 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $11.22 |
Where Nebraska sits
The same service costs 4.4 times more in Alaska than in New Jersey. 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· 4th of 51
$240
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.