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 $295.12 Median $1,659.59 Typical High $10,964.78 | Facility | None | $295.12 | $1,659.59 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $331.13 | Professional | None | $138.04 | $199.53 | $331.13 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,677.35 Median $6,309.57 Typical High $12,589.25 | Facility | None | $4,677.35 | $6,309.57 | $12,589.25 |
BCBS Nebraska Setting Professional Modifier None Typical Low $120.23 Median $208.93 Typical High $275.42 | Professional | None | $120.23 | $208.93 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $257.04 Typical High $288.40 | Facility | None | $199.53 | $257.04 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $398.11 Typical High $524.81 | Professional | None | $288.40 | $398.11 | $524.81 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $630.96 Typical High $3,235.94 | Facility | None | $257.04 | $630.96 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $524.81 Typical High $1,659.59 | Professional | None | $257.04 | $524.81 | $1,659.59 |
Midlands Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $575.44 | Professional | None | $338.84 | $457.09 | $575.44 |
Midlands Setting Facility Modifier None Typical Low $199.53 Median $257.04 Typical High $295.12 | Facility | None | $199.53 | $257.04 | $295.12 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $457.09 Typical High $676.08 | Professional | None | $257.04 | $457.09 | $676.08 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,818.38 | Facility | None | $467.74 | $851.14 | $2,818.38 |
United Setting Professional Modifier None Typical Low $194.98 Median $331.13 Typical High $524.81 | Professional | None | $194.98 | $331.13 | $524.81 |
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 $69.18 Median $100.00 Typical High $114.82 | Professional | 52 · Reduced service | $69.18 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $39.81 Typical High $46.77 | Professional | 53 · Discontinued | $27.54 | $39.81 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $151.36 Typical High $173.78 | Professional | 54 · Surgery only | $102.33 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $30.20 Typical High $34.67 | Professional | 55 · Aftercare only | $20.42 | $30.20 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $19.95 Typical High $22.91 | Professional | 56 · Pre-op care only | $13.80 | $19.95 | $22.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $141.25 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $95.50 | $141.25 | $162.18 |
Where Nebraska sits
The same service costs 3.5 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· 17th of 51
$269
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.