How much rates vary
Facilitymedian $813 · 10th to 90th $427 to $7,943Professionalmedian $871 · 10th to 90th $447 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 $478.63 Median $7,943.28 Typical High $21,877.62 | Facility | None | $478.63 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $478.63 Typical High $1,258.93 | Professional | None | $467.74 | $478.63 | $1,258.93 |
Ambetter Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,202.26 | Professional | None | $562.34 | $562.34 | $1,202.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,265.80 Median $5,623.41 Typical High $11,481.54 | Facility | None | $4,265.80 | $5,623.41 | $11,481.54 |
BCBS Nebraska Setting Professional Modifier None Typical Low $407.38 Median $691.83 Typical High $933.25 | Professional | None | $407.38 | $691.83 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $478.63 Typical High $537.03 | Facility | None | $380.19 | $478.63 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $1,513.56 | Professional | None | $1,096.48 | $1,174.90 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $812.83 Typical High $3,890.45 | Facility | None | $446.68 | $812.83 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $3,715.35 Typical High $3,801.89 | Professional | None | $933.25 | $3,715.35 | $3,801.89 |
Midlands Setting Professional Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $1,513.56 | Professional | None | $1,148.15 | $1,202.26 | $1,513.56 |
Midlands Setting Facility Modifier None Typical Low $380.19 Median $478.63 Typical High $549.54 | Facility | None | $380.19 | $478.63 | $549.54 |
Midlands Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,548.82 | Professional | None | $977.24 | $1,174.90 | $1,548.82 |
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 $707.95 Median $1,096.48 Typical High $1,380.38 | Professional | None | $707.95 | $1,096.48 | $1,380.38 |
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 $234.42 Median $239.88 Typical High $436.52 | Professional | 52 · Reduced service | $234.42 | $239.88 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $95.50 Typical High $173.78 | Professional | 53 · Discontinued | $93.33 | $95.50 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $363.08 Typical High $660.69 | Professional | 54 · Surgery only | $346.74 | $363.08 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $72.44 Typical High $131.83 | Professional | 55 · Aftercare only | $69.18 | $72.44 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $47.86 Typical High $87.10 | Professional | 56 · Pre-op care only | $46.77 | $47.86 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $338.84 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $323.59 | $338.84 | $616.60 |
Where Nebraska sits
The same service costs 6.2 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
$871
AK $1,995UT $324
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.