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 $575.44 Median $4,466.84 Typical High $11,481.54 | Facility | None | $575.44 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $575.44 Typical High $954.99 | Professional | None | $338.84 | $575.44 | $954.99 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,370.32 Median $7,244.36 Typical High $14,454.40 | Facility | None | $5,370.32 | $7,244.36 | $14,454.40 |
BCBS Nebraska Setting Professional Modifier None Typical Low $295.12 Median $524.81 Typical High $724.44 | Professional | None | $295.12 | $524.81 | $724.44 |
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 $758.58 Median $1,202.26 Typical High $1,584.89 | Professional | None | $758.58 | $1,202.26 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $2,691.53 Typical High $9,772.37 | Facility | None | $1,096.48 | $2,691.53 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,548.82 Typical High $4,570.88 | Professional | None | $812.83 | $1,548.82 | $4,570.88 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $1,584.89 | Professional | None | $891.25 | $1,258.93 | $1,584.89 |
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 $630.96 Median $1,122.02 Typical High $1,949.84 | Professional | None | $630.96 | $1,122.02 | $1,949.84 |
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 $501.19 Median $891.25 Typical High $1,659.59 | Professional | None | $501.19 | $891.25 | $1,659.59 |
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 $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $169.82 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $67.61 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $257.04 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $51.29 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $33.88 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $398.11 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $239.88 | $398.11 | $398.11 |
Where Nebraska sits
The same service costs 4.9 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· 20th of 51
$708
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.