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 $346.74 Median $3,801.89 Typical High $11,481.54 | Facility | None | $346.74 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $575.44 | Professional | None | $245.47 | $346.74 | $575.44 |
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 $213.80 Median $371.54 Typical High $489.78 | Professional | None | $213.80 | $371.54 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $457.09 Typical High $549.54 | Facility | None | $371.54 | $457.09 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $912.01 | Professional | None | $549.54 | $758.58 | $912.01 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $1,819.70 Typical High $4,265.80 | Facility | None | $457.09 | $1,819.70 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $912.01 Typical High $2,754.23 | Professional | None | $478.63 | $912.01 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $954.99 | Professional | None | $645.65 | $812.83 | $954.99 |
Midlands Setting Facility Modifier None Typical Low $371.54 Median $457.09 Typical High $602.56 | Facility | None | $371.54 | $457.09 | $602.56 |
Midlands Setting Professional Modifier None Typical Low $457.09 Median $812.83 Typical High $1,148.15 | Professional | None | $457.09 | $812.83 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,623.41 | Facility | None | $1,174.90 | $1,862.09 | $5,623.41 |
United Setting Professional Modifier None Typical Low $363.08 Median $616.60 Typical High $977.24 | Professional | None | $363.08 | $616.60 | $977.24 |
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 $123.03 Median $173.78 Typical High $204.17 | Professional | 52 · Reduced service | $123.03 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $69.18 Typical High $83.18 | Professional | 53 · Discontinued | $48.98 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $263.03 Typical High $309.03 | Professional | 54 · Surgery only | $186.21 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $52.48 Typical High $61.66 | Professional | 55 · Aftercare only | $37.15 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $34.67 Typical High $41.69 | Professional | 56 · Pre-op care only | $24.55 | $34.67 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $245.47 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $173.78 | $245.47 | $288.40 |
Where Nebraska sits
The same service costs 5.2 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· 15th of 51
$479
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.