How much rates vary
Facilitymedian $676 · 10th to 90th $229 to $6,026Professionalmedian $363 · 10th to 90th $191 to $3,715
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 $229.09 Median $4,466.84 Typical High $11,481.54 | Facility | None | $229.09 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $602.56 | Professional | None | $190.55 | $229.09 | $602.56 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $478.63 | Professional | None | $331.13 | $331.13 | $478.63 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,162.28 Median $4,168.69 Typical High $8,511.38 | Facility | None | $3,162.28 | $4,168.69 | $8,511.38 |
BCBS Nebraska Setting Professional Modifier None Typical Low $169.82 Median $288.40 Typical High $380.19 | Professional | None | $169.82 | $288.40 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $245.47 Typical High $354.81 | Facility | None | $204.17 | $245.47 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $616.60 | Professional | None | $457.09 | $549.54 | $616.60 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $660.69 Typical High $2,951.21 | Facility | None | $363.08 | $660.69 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $3,715.35 Typical High $4,466.84 | Professional | None | $457.09 | $3,715.35 | $4,466.84 |
Midlands Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $616.60 | Professional | None | $478.63 | $575.44 | $616.60 |
Midlands Setting Facility Modifier None Typical Low $204.17 Median $245.47 Typical High $363.08 | Facility | None | $204.17 | $245.47 | $363.08 |
Midlands Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $630.96 | Professional | None | $398.11 | $549.54 | $630.96 |
Oscar Health Setting Facility Modifier None Typical Low $158.49 Median $288.40 Typical High $660.69 | Facility | None | $158.49 | $288.40 | $660.69 |
United Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $2,754.23 | Facility | None | $467.74 | $741.31 | $2,754.23 |
United Setting Professional Modifier None Typical Low $295.12 Median $489.78 Typical High $691.83 | Professional | None | $295.12 | $489.78 | $691.83 |
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 $95.50 Median $114.82 Typical High $181.97 | Professional | 52 · Reduced service | $95.50 | $114.82 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $45.71 Typical High $72.44 | Professional | 53 · Discontinued | $38.02 | $45.71 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $169.82 Typical High $269.15 | Professional | 54 · Surgery only | $144.54 | $169.82 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $33.88 Typical High $53.70 | Professional | 55 · Aftercare only | $28.84 | $33.88 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $22.91 Typical High $36.31 | Professional | 56 · Pre-op care only | $19.05 | $22.91 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $158.49 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $134.90 | $158.49 | $251.19 |
Where Nebraska sits
The same service costs 4.0 times more in Alaska than in Utah. 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· 13th of 51
$380
AK $813UT $204
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.