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 $954.99 Median $7,943.28 Typical High $21,877.62 | Facility | None | $954.99 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,698.24 | Professional | None | $954.99 | $954.99 | $1,698.24 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,918.31 Median $9,332.54 Typical High $18,620.87 | Facility | None | $6,918.31 | $9,332.54 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,187.76 Typical High $2,454.71 | Professional | None | $1,949.84 | $2,187.76 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $954.99 Typical High $4,365.16 | Facility | None | $478.63 | $954.99 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $9,332.54 | Professional | None | $1,230.27 | $1,995.26 | $9,332.54 |
Midlands Setting Professional Modifier None Typical Low $1,995.26 Median $2,290.87 Typical High $3,090.30 | Professional | None | $1,995.26 | $2,290.87 | $3,090.30 |
Midlands Setting Professional Modifier None Typical Low $1,737.80 Median $2,511.89 Typical High $3,388.44 | Professional | None | $1,737.80 | $2,511.89 | $3,388.44 |
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 $1,230.27 Median $1,995.26 Typical High $2,511.89 | Professional | None | $1,230.27 | $1,995.26 | $2,511.89 |
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 $478.63 Median $478.63 Typical High $851.14 | Professional | 52 · Reduced service | $478.63 | $478.63 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $338.84 | Professional | 53 · Discontinued | $190.55 | $190.55 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $1,288.25 | Professional | 54 · Surgery only | $724.44 | $724.44 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $257.04 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $169.82 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $1,202.26 |
Where Nebraska sits
The same service costs 21.9 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· 8th of 51
$2,042
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.