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 $1,258.93 Median $1,258.93 Typical High $1,584.89 | Facility | None | $1,258.93 | $1,258.93 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,258.93 | $1,584.89 | $2,089.30 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,311.31 Median $4,466.84 Typical High $8,912.51 | Facility | None | $3,311.31 | $4,466.84 | $8,912.51 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,096.48 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,096.48 | $1,862.09 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $1,862.09 | Facility | None | $1,122.02 | $1,445.44 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $3,467.37 Typical High $4,168.69 | Professional | None | $2,884.03 | $3,467.37 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,951.21 Typical High $6,456.54 | Facility | None | $1,258.93 | $2,951.21 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $4,073.80 Typical High $12,302.69 | Professional | None | $2,187.76 | $4,073.80 | $12,302.69 |
Midlands Setting Professional Modifier None Typical Low $3,467.37 Median $4,073.80 Typical High $4,365.16 | Professional | None | $3,467.37 | $4,073.80 | $4,365.16 |
Midlands Setting Facility Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $1,995.26 | Facility | None | $1,122.02 | $1,445.44 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $4,168.69 Typical High $5,248.07 | Professional | None | $2,290.87 | $4,168.69 | $5,248.07 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $6,606.93 | Facility | None | $1,380.38 | $3,019.95 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $3,162.28 Typical High $4,365.16 | Professional | None | $1,905.46 | $3,162.28 | $4,365.16 |
5 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 $616.60 Median $794.33 Typical High $1,096.48 | Professional | 52 · Reduced service | $616.60 | $794.33 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $316.23 Typical High $436.52 | Professional | 53 · Discontinued | $251.19 | $316.23 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $234.42 Typical High $331.13 | Professional | 55 · Aftercare only | $186.21 | $234.42 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $158.49 Typical High $218.78 | Professional | 56 · Pre-op care only | $125.89 | $158.49 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,096.48 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $870.96 | $1,096.48 | $1,548.82 |
Where Nebraska sits
The same service costs 5.1 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
$2,344
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.