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 $1,258.93 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,258.93 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,238.72 | Professional | None | $1,258.93 | $1,258.93 | $2,238.72 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,760.83 Median $8,912.51 Typical High $18,197.01 | Facility | None | $6,760.83 | $8,912.51 | $18,197.01 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,951.21 Typical High $3,235.94 | Professional | None | $2,570.40 | $2,951.21 | $3,235.94 |
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 $1,621.81 Median $3,090.30 Typical High $10,232.93 | Professional | None | $1,621.81 | $3,090.30 | $10,232.93 |
Midlands Setting Professional Modifier None Typical Low $2,630.27 Median $3,090.30 Typical High $4,073.80 | Professional | None | $2,630.27 | $3,090.30 | $4,073.80 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $3,311.31 Typical High $4,466.84 | Professional | None | $2,290.87 | $3,311.31 | $4,466.84 |
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 $1,621.81 Median $2,691.53 Typical High $3,630.78 | Professional | None | $1,621.81 | $2,691.53 | $3,630.78 |
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 $630.96 Median $630.96 Typical High $1,122.02 | Professional | 52 · Reduced service | $630.96 | $630.96 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $446.68 | Professional | 53 · Discontinued | $251.19 | $251.19 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $1,698.24 | Professional | 54 · Surgery only | $954.99 | $954.99 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $338.84 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $223.87 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $1,584.89 |
Where Nebraska sits
The same service costs 5.9 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· 4th of 51
$2,951
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.