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 $416.87 Median $4,365.16 Typical High $11,481.54 | Facility | None | $416.87 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $354.81 Typical High $676.08 | Professional | None | $194.98 | $354.81 | $676.08 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,570.88 Median $6,025.60 Typical High $12,302.69 | Facility | None | $4,570.88 | $6,025.60 | $12,302.69 |
BCBS Nebraska Setting Professional Modifier None Typical Low $173.78 Median $309.03 Typical High $416.87 | Professional | None | $173.78 | $309.03 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $2,238.72 | Facility | None | $1,096.48 | $1,513.56 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $660.69 | Professional | None | $426.58 | $537.03 | $660.69 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $1,122.02 Typical High $5,623.41 | Facility | None | $489.78 | $1,122.02 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $537.03 Typical High $2,089.30 | Professional | None | $323.59 | $537.03 | $2,089.30 |
Midlands Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $676.08 | Professional | None | $426.58 | $537.03 | $676.08 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $2,691.53 | Facility | None | $1,096.48 | $1,548.82 | $2,691.53 |
Midlands Setting Professional Modifier None Typical Low $407.38 Median $524.81 Typical High $602.56 | Professional | None | $407.38 | $524.81 | $602.56 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,311.31 | Facility | None | $707.95 | $1,445.44 | $3,311.31 |
United Setting Professional Modifier None Typical Low $288.40 Median $467.74 Typical High $630.96 | Professional | None | $288.40 | $467.74 | $630.96 |
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 $97.72 Median $97.72 Typical High $125.89 | Professional | 52 · Reduced service | $97.72 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $51.29 | Professional | 53 · Discontinued | $38.90 | $38.90 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | 54 · Surgery only | $147.91 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $38.02 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $25.70 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $25.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $138.04 | $138.04 | $177.83 |
Where Nebraska sits
The same service costs 4.7 times more in Alaska than in Kentucky. 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· 15th of 51
$389
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.