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 $1,862.09 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,862.09 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,162.28 | Professional | None | $1,862.09 | $1,862.09 | $3,162.28 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,365.16 Median $5,888.44 Typical High $11,748.98 | Facility | None | $4,365.16 | $5,888.44 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $2,041.74 | Facility | None | $1,659.59 | $1,949.84 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $3,801.89 Median $4,466.84 Typical High $4,786.30 | Professional | None | $3,801.89 | $4,466.84 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,548.13 Typical High $8,128.31 | Facility | None | $1,513.56 | $3,548.13 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $2,511.89 Median $4,677.35 Typical High $18,197.01 | Professional | None | $2,511.89 | $4,677.35 | $18,197.01 |
Midlands Setting Professional Modifier None Typical Low $3,548.13 Median $4,677.35 Typical High $6,165.95 | Professional | None | $3,548.13 | $4,677.35 | $6,165.95 |
Midlands Setting Facility Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $2,884.03 | Facility | None | $1,659.59 | $1,949.84 | $2,884.03 |
Midlands Setting Professional Modifier None Typical Low $3,388.44 Median $4,466.84 Typical High $6,309.57 | Professional | None | $3,388.44 | $4,466.84 | $6,309.57 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,162.28 Typical High $7,244.36 | Facility | None | $1,698.24 | $3,162.28 | $7,244.36 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $4,168.69 Typical High $5,623.41 | Professional | None | $2,511.89 | $4,168.69 | $5,623.41 |
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 $933.25 Median $933.25 Typical High $1,584.89 | Professional | 52 · Reduced service | $933.25 | $933.25 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $630.96 | Professional | 53 · Discontinued | $371.54 | $371.54 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,380.38 Typical High $2,398.83 | Professional | 54 · Surgery only | $1,380.38 | $1,380.38 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $478.63 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $316.23 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,288.25 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,288.25 | $2,238.72 |
Where Nebraska sits
The same service costs 19.5 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· 5th of 51
$4,365
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.