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 $676.08 Median $7,943.28 Typical High $21,877.62 | Facility | None | $676.08 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $831.76 | Professional | None | $676.08 | $676.08 | $831.76 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,398.83 Median $16,595.87 Typical High $34,673.69 | Facility | None | $2,398.83 | $16,595.87 | $34,673.69 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,737.80 | Professional | None | $851.14 | $1,096.48 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $977.24 Typical High $4,168.69 | Facility | None | $489.78 | $977.24 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,698.24 Typical High $4,677.35 | Professional | None | $1,000.00 | $1,698.24 | $4,677.35 |
Midlands Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,737.80 | Professional | None | $851.14 | $1,096.48 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $1,698.24 Typical High $1,737.80 | Professional | None | $794.33 | $1,698.24 | $1,737.80 |
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 $1,000.00 Median $1,479.11 Typical High $1,862.09 | Professional | None | $1,000.00 | $1,479.11 | $1,862.09 |
4 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 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $562.34 | Professional | 54 · Surgery only | $501.19 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $524.81 |
Where Nebraska sits
The same service costs 3.8 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· 3rd of 51
$1,413
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.