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 $338.84 Median $3,801.89 Typical High $11,481.54 | Facility | None | $338.84 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $338.84 Typical High $457.09 | Professional | None | $239.88 | $338.84 | $457.09 |
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 $213.80 Median $371.54 Typical High $489.78 | Professional | None | $213.80 | $371.54 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $457.09 Typical High $501.19 | Facility | None | $354.81 | $457.09 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $891.25 | Professional | None | $501.19 | $676.08 | $891.25 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $676.08 Typical High $2,398.83 | Facility | None | $398.11 | $676.08 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $891.25 Typical High $2,754.23 | Professional | None | $436.52 | $891.25 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $977.24 | Professional | None | $588.84 | $794.33 | $977.24 |
Midlands Setting Facility Modifier None Typical Low $354.81 Median $457.09 Typical High $524.81 | Facility | None | $354.81 | $457.09 | $524.81 |
Midlands Setting Professional Modifier None Typical Low $446.68 Median $794.33 Typical High $1,174.90 | Professional | None | $446.68 | $794.33 | $1,174.90 |
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 $338.84 Median $588.84 Typical High $891.25 | Professional | None | $338.84 | $588.84 | $891.25 |
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 $120.23 Median $169.82 Typical High $204.17 | Professional | 52 · Reduced service | $120.23 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $69.18 Typical High $81.28 | Professional | 53 · Discontinued | $48.98 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $257.04 Typical High $309.03 | Professional | 54 · Surgery only | $181.97 | $257.04 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $51.29 Typical High $61.66 | Professional | 55 · Aftercare only | $36.31 | $51.29 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $33.88 Typical High $40.74 | Professional | 56 · Pre-op care only | $23.99 | $33.88 | $40.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $239.88 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $169.82 | $239.88 | $288.40 |
Where Nebraska sits
The same service costs 4.5 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· 14th of 51
$468
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.