How much rates vary
Facilitymedian $794 · 10th to 90th $427 to $4,365Professionalmedian $550 · 10th to 90th $288 to $2,344
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 $309.03 Median $4,466.84 Typical High $11,481.54 | Facility | None | $309.03 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $812.83 | Professional | None | $288.40 | $309.03 | $812.83 |
Ambetter Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $645.65 | Professional | None | $446.68 | $537.03 | $645.65 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $3,162.28 | Facility | None | $1,174.90 | $1,548.82 | $3,162.28 |
BCBS Nebraska Setting Professional Modifier None Typical Low $257.04 Median $436.52 Typical High $575.44 | Professional | None | $257.04 | $436.52 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $954.99 | Facility | None | $380.19 | $501.19 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $933.25 | Professional | None | $691.83 | $758.58 | $933.25 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $2,290.87 | Facility | None | $446.68 | $691.83 | $2,290.87 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $2,344.23 Typical High $2,511.89 | Professional | None | $562.34 | $2,344.23 | $2,511.89 |
Midlands Setting Professional Modifier None Typical Low $724.44 Median $758.58 Typical High $933.25 | Professional | None | $724.44 | $758.58 | $933.25 |
Midlands Setting Facility Modifier None Typical Low $398.11 Median $512.86 Typical High $954.99 | Facility | None | $398.11 | $512.86 | $954.99 |
Midlands Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $954.99 | Professional | None | $602.56 | $758.58 | $954.99 |
Oscar Health Setting Facility Modifier None Typical Low $338.84 Median $616.60 Typical High $794.33 | Facility | None | $338.84 | $616.60 | $794.33 |
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 $436.52 Median $676.08 Typical High $870.96 | Professional | None | $436.52 | $676.08 | $870.96 |
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 $144.54 Median $154.88 Typical High $269.15 | Professional | 52 · Reduced service | $144.54 | $154.88 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $61.66 Typical High $109.65 | Professional | 53 · Discontinued | $57.54 | $61.66 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $218.78 Typical High $380.19 | Professional | 54 · Surgery only | $204.17 | $218.78 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $46.77 Typical High $81.28 | Professional | 55 · Aftercare only | $43.65 | $46.77 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.90 Typical High $54.95 | Professional | 56 · Pre-op care only | $28.84 | $30.90 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $218.78 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $204.17 | $218.78 | $363.08 |
Where Nebraska sits
The same service costs 5.8 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· 9th of 51
$562
AK $1,259UT $219
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.