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 $1,148.15 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,148.15 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,148.15 | $1,584.89 |
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 $2,137.96 Median $2,951.21 Typical High $3,548.13 | Professional | None | $2,137.96 | $2,951.21 | $3,548.13 |
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 $1,819.70 Median $2,951.21 Typical High $9,332.54 | Professional | None | $1,819.70 | $2,951.21 | $9,332.54 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $3,890.45 | Professional | None | $2,290.87 | $2,951.21 | $3,890.45 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $3,890.45 | Professional | None | $2,290.87 | $2,884.03 | $3,890.45 |
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 $1,819.70 Median $2,630.27 Typical High $3,388.44 | Professional | None | $1,819.70 | $2,630.27 | $3,388.44 |
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 $575.44 Median $575.44 Typical High $691.83 | Professional | 52 · Reduced service | $575.44 | $575.44 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $275.42 | Professional | 53 · Discontinued | $229.09 | $229.09 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $1,023.29 | Professional | 54 · Surgery only | $870.96 | $870.96 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $138.04 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $954.99 |
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
$2,884
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.