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 $1,412.54 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,412.54 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,511.89 | Professional | None | $1,412.54 | $1,412.54 | $2,511.89 |
BCBS Nebraska Setting Facility Modifier None Typical Low $12,022.64 Median $15,848.93 Typical High $32,359.37 | Facility | None | $12,022.64 | $15,848.93 | $32,359.37 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $3,235.94 Typical High $3,630.78 | Professional | None | $2,884.03 | $3,235.94 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $1,000.00 Typical High $5,011.87 | Facility | None | $489.78 | $1,000.00 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $3,388.44 Typical High $11,220.18 | Professional | None | $1,819.70 | $3,388.44 | $11,220.18 |
Midlands Setting Professional Modifier None Typical Low $2,884.03 Median $3,388.44 Typical High $4,466.84 | Professional | None | $2,884.03 | $3,388.44 | $4,466.84 |
Midlands Setting Professional Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $4,897.79 | Professional | None | $2,511.89 | $3,630.78 | $4,897.79 |
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 $3,019.95 Typical High $4,168.69 | Professional | None | $1,819.70 | $3,019.95 | $4,168.69 |
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 $691.83 Median $691.83 Typical High $1,258.93 | Professional | 52 · Reduced service | $691.83 | $691.83 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $501.19 | Professional | 53 · Discontinued | $281.84 | $281.84 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $371.54 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $251.19 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $1,737.80 |
Where Nebraska sits
The same service costs 22.9 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· 5th of 51
$3,236
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.