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 $5,011.87 Median $8,511.38 Typical High $29,512.09 | Facility | None | $5,011.87 | $8,511.38 | $29,512.09 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $2,089.30 | Professional | None | $1,230.27 | $1,230.27 | $2,089.30 |
BCBS Nebraska Setting Facility Modifier None Typical Low $9,332.54 Median $12,302.69 Typical High $25,118.86 | Facility | None | $9,332.54 | $12,302.69 | $25,118.86 |
BCBS Nebraska Setting Professional Modifier None Typical Low $8,511.38 Median $13,182.57 Typical High $17,378.01 | Professional | None | $8,511.38 | $13,182.57 | $17,378.01 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $5,248.07 Typical High $5,623.41 | Facility | None | $4,570.88 | $5,248.07 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $2,951.21 Typical High $3,235.94 | Professional | None | $2,511.89 | $2,951.21 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,691.53 Typical High $8,709.64 | Facility | None | $1,318.26 | $2,691.53 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $3,162.28 Typical High $12,589.25 | Professional | None | $1,659.59 | $3,162.28 | $12,589.25 |
Midlands Setting Professional Modifier None Typical Low $2,398.83 Median $3,162.28 Typical High $4,073.80 | Professional | None | $2,398.83 | $3,162.28 | $4,073.80 |
Midlands Setting Facility Modifier None Typical Low $4,570.88 Median $5,248.07 Typical High $7,762.47 | Facility | None | $4,570.88 | $5,248.07 | $7,762.47 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $4,168.69 | Professional | None | $2,290.87 | $3,019.95 | $4,168.69 |
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 $1,659.59 Median $2,754.23 Typical High $3,801.89 | Professional | None | $1,659.59 | $2,754.23 | $3,801.89 |
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 $616.60 Median $616.60 Typical High $1,047.13 | Professional | 52 · Reduced service | $616.60 | $616.60 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $416.87 | Professional | 53 · Discontinued | $245.47 | $245.47 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $1,548.82 | Professional | 54 · Surgery only | $933.25 | $933.25 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $309.03 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $208.93 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $1,445.44 |
Where Nebraska sits
The same service costs 15.1 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· 3rd of 51
$3,162
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.