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 $588.84 Median $9,549.93 Typical High $21,877.62 | Facility | None | $588.84 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $1,071.52 | Professional | None | $501.19 | $588.84 | $1,071.52 |
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 $436.52 Median $776.25 Typical High $1,071.52 | Professional | None | $436.52 | $776.25 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $3,890.45 | Facility | None | $1,548.82 | $2,041.74 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $1,659.59 | Professional | None | $1,096.48 | $1,412.54 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $1,819.70 Typical High $7,943.28 | Facility | None | $933.25 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,621.81 Typical High $5,754.40 | Professional | None | $851.14 | $1,621.81 | $5,754.40 |
Midlands Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $1,659.59 | Professional | None | $1,288.25 | $1,621.81 | $1,659.59 |
Midlands Setting Facility Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $3,981.07 | Facility | None | $1,584.89 | $2,089.30 | $3,981.07 |
Midlands Setting Professional Modifier None Typical Low $933.25 Median $1,621.81 Typical High $1,995.26 | Professional | None | $933.25 | $1,621.81 | $1,995.26 |
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 $776.25 Median $1,230.27 Typical High $1,698.24 | Professional | None | $776.25 | $1,230.27 | $1,698.24 |
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 $251.19 Median $295.12 Typical High $446.68 | Professional | 52 · Reduced service | $251.19 | $295.12 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $120.23 Typical High $177.83 | Professional | 53 · Discontinued | $100.00 | $120.23 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $446.68 Typical High $676.08 | Professional | 54 · Surgery only | $371.54 | $446.68 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $89.13 Typical High $134.90 | Professional | 55 · Aftercare only | $75.86 | $89.13 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $58.88 Typical High $89.13 | Professional | 56 · Pre-op care only | $50.12 | $58.88 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $416.87 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $346.74 | $416.87 | $630.96 |
Where Nebraska sits
The same service costs 6.2 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
$1,000
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.