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 $1,202.26 Median $1,202.26 Typical High $1,479.11 | Facility | None | $1,202.26 | $1,202.26 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $2,137.96 | Professional | None | $1,202.26 | $1,479.11 | $2,137.96 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,165.95 Median $8,128.31 Typical High $16,595.87 | Facility | None | $6,165.95 | $8,128.31 | $16,595.87 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $2,398.83 | Professional | None | $1,047.13 | $1,778.28 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,737.80 | Facility | None | $1,000.00 | $1,288.25 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $3,388.44 Typical High $4,073.80 | Professional | None | $2,754.23 | $3,388.44 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,818.38 Typical High $7,413.10 | Facility | None | $1,258.93 | $2,818.38 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $2,089.30 Median $3,890.45 Typical High $11,748.98 | Professional | None | $2,089.30 | $3,890.45 | $11,748.98 |
Midlands Setting Professional Modifier None Typical Low $3,235.94 Median $3,890.45 Typical High $4,073.80 | Professional | None | $3,235.94 | $3,890.45 | $4,073.80 |
Midlands Setting Facility Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,819.70 | Facility | None | $1,000.00 | $1,288.25 | $1,819.70 |
Midlands Setting Professional Modifier None Typical Low $2,238.72 Median $4,073.80 Typical High $4,897.79 | Professional | None | $2,238.72 | $4,073.80 | $4,897.79 |
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 $1,862.09 Median $3,019.95 Typical High $4,168.69 | Professional | None | $1,862.09 | $3,019.95 | $4,168.69 |
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 $602.56 Median $741.31 Typical High $1,071.52 | Professional | 52 · Reduced service | $602.56 | $741.31 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $295.12 Typical High $436.52 | Professional | 53 · Discontinued | $239.88 | $295.12 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $223.87 Typical High $323.59 | Professional | 55 · Aftercare only | $181.97 | $223.87 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $147.91 Typical High $213.80 | Professional | 56 · Pre-op care only | $120.23 | $147.91 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,047.13 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $851.14 | $1,047.13 | $1,513.56 |
Where Nebraska sits
The same service costs 5.5 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· 16th of 51
$2,239
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.