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 $5,495.41 Median $9,549.93 Typical High $21,877.62 | Facility | None | $5,495.41 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,584.89 | Professional | None | $676.08 | $676.08 | $1,584.89 |
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 $4,168.69 Median $4,466.84 Typical High $4,677.35 | Professional | None | $4,168.69 | $4,466.84 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $4,073.80 Typical High $5,248.07 | Facility | None | $1,949.84 | $4,073.80 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,621.81 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $16,595.87 | Facility | None | $1,096.48 | $1,819.70 | $16,595.87 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,698.24 Typical High $6,309.57 | Professional | None | $912.01 | $1,698.24 | $6,309.57 |
Midlands Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,318.26 | $1,698.24 | $2,238.72 |
Midlands Setting Facility Modifier None Typical Low $1,949.84 Median $4,168.69 Typical High $5,623.41 | Facility | None | $1,949.84 | $4,168.69 | $5,623.41 |
Midlands Setting Professional Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,258.93 | $1,659.59 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $7,413.10 | Facility | None | $1,174.90 | $1,862.09 | $7,413.10 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,513.56 Typical High $2,041.74 | Professional | None | $912.01 | $1,513.56 | $2,041.74 |
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 $338.84 Median $338.84 Typical High $575.44 | Professional | 52 · Reduced service | $338.84 | $338.84 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $229.09 | Professional | 53 · Discontinued | $134.90 | $134.90 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $870.96 | Professional | 54 · Surgery only | $512.86 | $512.86 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $173.78 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $114.82 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $812.83 |
Where Nebraska sits
The same service costs 8.5 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· 4th of 51
$1,698
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.