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 $316.23 Median $3,801.89 Typical High $11,481.54 | Facility | None | $316.23 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $331.13 Typical High $776.25 | Professional | None | $134.90 | $331.13 | $776.25 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $338.84 Typical High $691.83 | Professional | None | $208.93 | $338.84 | $691.83 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,370.32 Median $7,244.36 Typical High $14,454.40 | Facility | None | $5,370.32 | $7,244.36 | $14,454.40 |
BCBS Nebraska Setting Professional Modifier None Typical Low $117.49 Median $208.93 Typical High $288.40 | Professional | None | $117.49 | $208.93 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $1,479.11 | Facility | None | $645.65 | $1,071.52 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $676.08 Typical High $851.14 | Professional | None | $281.84 | $676.08 | $851.14 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,096.48 Typical High $3,981.07 | Facility | None | $588.84 | $1,096.48 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $851.14 Typical High $2,818.38 | Professional | None | $446.68 | $851.14 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $331.13 Median $741.31 Typical High $912.01 | Professional | None | $331.13 | $741.31 | $912.01 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $1,122.02 Typical High $1,621.81 | Facility | None | $645.65 | $1,122.02 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $602.56 Typical High $1,122.02 | Professional | None | $251.19 | $602.56 | $1,122.02 |
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 $190.55 Median $446.68 Typical High $912.01 | Professional | None | $190.55 | $446.68 | $912.01 |
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 $67.61 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $67.61 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $26.92 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $239.88 Typical High $239.88 | Professional | 54 · Surgery only | $100.00 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $19.95 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $13.49 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $223.87 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $93.33 | $223.87 | $223.87 |
Where Nebraska sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 40th of 51
$295
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.