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 $724.44 Median $7,943.28 Typical High $21,877.62 | Facility | None | $724.44 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $1,230.27 | Professional | None | $562.34 | $724.44 | $1,230.27 |
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 $501.19 Median $891.25 Typical High $1,230.27 | Professional | None | $501.19 | $891.25 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $4,073.80 Typical High $5,248.07 | Facility | None | $1,380.38 | $4,073.80 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $2,041.74 | Professional | None | $1,230.27 | $1,584.89 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,951.21 Typical High $9,772.37 | Facility | None | $1,202.26 | $2,951.21 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,862.09 Typical High $10,000.00 | Professional | None | $1,000.00 | $1,862.09 | $10,000.00 |
Midlands Setting Professional Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $2,041.74 | Professional | None | $1,548.82 | $1,905.46 | $2,041.74 |
Midlands Setting Facility Modifier None Typical Low $1,380.38 Median $4,168.69 Typical High $5,623.41 | Facility | None | $1,380.38 | $4,168.69 | $5,623.41 |
Midlands Setting Professional Modifier None Typical Low $1,047.13 Median $1,949.84 Typical High $2,570.40 | Professional | None | $1,047.13 | $1,949.84 | $2,570.40 |
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 $812.83 Median $1,380.38 Typical High $1,995.26 | Professional | None | $812.83 | $1,380.38 | $1,995.26 |
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 $281.84 Median $363.08 Typical High $467.74 | Professional | 52 · Reduced service | $281.84 | $363.08 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $144.54 Typical High $190.55 | Professional | 53 · Discontinued | $112.20 | $144.54 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $549.54 Typical High $707.95 | Professional | 54 · Surgery only | $426.58 | $549.54 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $109.65 Typical High $141.25 | Professional | 55 · Aftercare only | $85.11 | $109.65 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $72.44 Typical High $93.33 | Professional | 56 · Pre-op care only | $56.23 | $72.44 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $512.86 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $398.11 | $512.86 | $660.69 |
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· 12th of 51
$1,122
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.