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 $436.52 Median $4,466.84 Typical High $11,481.54 | Facility | None | $436.52 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $724.44 | Professional | None | $338.84 | $436.52 | $724.44 |
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 $295.12 Median $537.03 Typical High $741.31 | Professional | None | $295.12 | $537.03 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,905.46 Typical High $2,570.40 | Facility | None | $954.99 | $1,905.46 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,174.90 | Professional | None | $741.31 | $933.25 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $7,943.28 | Facility | None | $831.76 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $1,148.15 Typical High $3,467.37 | Professional | None | $616.60 | $1,148.15 | $3,467.37 |
Midlands Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,202.26 | Professional | None | $933.25 | $1,122.02 | $1,202.26 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $2,041.74 Typical High $2,754.23 | Facility | None | $954.99 | $2,041.74 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $630.96 Median $1,148.15 Typical High $1,479.11 | Professional | None | $630.96 | $1,148.15 | $1,479.11 |
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 $524.81 Median $851.14 Typical High $1,230.27 | Professional | None | $524.81 | $851.14 | $1,230.27 |
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 $169.82 Median $213.80 Typical High $288.40 | Professional | 52 · Reduced service | $169.82 | $213.80 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $87.10 Typical High $114.82 | Professional | 53 · Discontinued | $67.61 | $87.10 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $323.59 Typical High $436.52 | Professional | 54 · Surgery only | $257.04 | $323.59 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $64.57 Typical High $87.10 | Professional | 55 · Aftercare only | $51.29 | $64.57 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $43.65 Typical High $57.54 | Professional | 56 · Pre-op care only | $33.88 | $43.65 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $302.00 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $239.88 | $302.00 | $407.38 |
Where Nebraska sits
The same service costs 6.0 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· 12th of 51
$676
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.