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 $741.31 Median $4,466.84 Typical High $11,481.54 | Facility | None | $741.31 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $1,230.27 Typical High $1,949.84 | Professional | None | $630.96 | $1,230.27 | $1,949.84 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,606.93 Median $8,912.51 Typical High $17,782.79 | Facility | None | $6,606.93 | $8,912.51 | $17,782.79 |
BCBS Nebraska Setting Professional Modifier None Typical Low $549.54 Median $977.24 Typical High $1,348.96 | Professional | None | $549.54 | $977.24 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $4,073.80 Typical High $5,248.07 | Facility | None | $954.99 | $4,073.80 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,659.59 Typical High $1,995.26 | Professional | None | $1,380.38 | $1,659.59 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,951.21 Typical High $9,772.37 | Facility | None | $1,202.26 | $2,951.21 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,949.84 Typical High $5,888.44 | Professional | None | $1,023.29 | $1,949.84 | $5,888.44 |
Midlands Setting Professional Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $2,089.30 | Professional | None | $1,659.59 | $1,995.26 | $2,089.30 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $4,168.69 Typical High $5,623.41 | Facility | None | $954.99 | $4,168.69 | $5,623.41 |
Midlands Setting Professional Modifier None Typical Low $1,148.15 Median $2,089.30 Typical High $2,454.71 | Professional | None | $1,148.15 | $2,089.30 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $7,585.78 | Facility | None | $1,380.38 | $3,019.95 | $7,585.78 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,513.56 Typical High $2,041.74 | Professional | None | $933.25 | $1,513.56 | $2,041.74 |
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 $316.23 Median $371.54 Typical High $524.81 | Professional | 52 · Reduced service | $316.23 | $371.54 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $147.91 Typical High $208.93 | Professional | 53 · Discontinued | $125.89 | $147.91 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $562.34 Typical High $794.33 | Professional | 54 · Surgery only | $467.74 | $562.34 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $112.20 Typical High $158.49 | Professional | 55 · Aftercare only | $93.33 | $112.20 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $74.13 Typical High $104.71 | Professional | 56 · Pre-op care only | $63.10 | $74.13 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $524.81 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $436.52 | $524.81 | $741.31 |
Where Nebraska sits
The same service costs 5.8 times more in Alaska than in Utah. 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· 13th of 51
$1,230
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.