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 $114.82 Median $3,801.89 Typical High $11,481.54 | Facility | None | $114.82 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $194.98 Typical High $302.00 | Professional | None | $83.18 | $194.98 | $302.00 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,630.78 Median $4,786.30 Typical High $9,772.37 | Facility | None | $3,630.78 | $4,786.30 | $9,772.37 |
BCBS Nebraska Setting Professional Modifier None Typical Low $74.13 Median $128.82 Typical High $165.96 | Professional | None | $74.13 | $128.82 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $114.82 Typical High $144.54 | Facility | None | $91.20 | $114.82 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $302.00 | Professional | None | $169.82 | $213.80 | $302.00 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $1,071.52 Typical High $3,019.95 | Facility | None | $154.88 | $1,071.52 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $281.84 Typical High $1,445.44 | Professional | None | $141.25 | $281.84 | $1,445.44 |
Midlands Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $316.23 | Professional | None | $199.53 | $251.19 | $316.23 |
Midlands Setting Facility Modifier None Typical Low $91.20 Median $123.03 Typical High $151.36 | Facility | None | $91.20 | $123.03 | $151.36 |
Midlands Setting Professional Modifier None Typical Low $154.88 Median $275.42 Typical High $371.54 | Professional | None | $154.88 | $275.42 | $371.54 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $114.82 Median $199.53 Typical High $295.12 | Professional | None | $114.82 | $199.53 | $295.12 |
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 $41.69 Median $57.54 Typical High $70.79 | Professional | 52 · Reduced service | $41.69 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $23.44 Typical High $28.18 | Professional | 53 · Discontinued | $16.98 | $23.44 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $87.10 Typical High $107.15 | Professional | 54 · Surgery only | $63.10 | $87.10 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $17.38 Typical High $21.38 | Professional | 55 · Aftercare only | $12.59 | $17.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $11.48 Typical High $14.13 | Professional | 56 · Pre-op care only | $8.32 | $11.48 | $14.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $58.88 Median $81.28 Typical High $100.00 | Professional | 78 · Unplanned return to OR | $58.88 | $81.28 | $100.00 |
Where Nebraska sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 15th of 51
$162
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.