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 $794.33 Median $794.33 Typical High $1,584.89 | Professional | None | $794.33 | $794.33 | $1,584.89 |
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 $4,168.69 Median $5,370.32 Typical High $5,888.44 | Professional | None | $4,168.69 | $5,370.32 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $4,073.80 Typical High $8,709.64 | Facility | None | $1,949.84 | $4,073.80 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,905.46 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,905.46 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $16,595.87 | Facility | None | $1,318.26 | $2,951.21 | $16,595.87 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $2,041.74 Typical High $13,182.57 | Professional | None | $1,071.52 | $2,041.74 | $13,182.57 |
Midlands Setting Professional Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $2,630.27 | Professional | None | $1,513.56 | $1,995.26 | $2,630.27 |
Midlands Setting Facility Modifier None Typical Low $1,949.84 Median $4,168.69 Typical High $9,332.54 | Facility | None | $1,949.84 | $4,168.69 | $9,332.54 |
Midlands Setting Professional Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $2,691.53 | Professional | None | $1,479.11 | $1,905.46 | $2,691.53 |
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 $1,071.52 Median $1,778.28 Typical High $2,290.87 | Professional | None | $1,071.52 | $1,778.28 | $2,290.87 |
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 $398.11 Median $398.11 Typical High $660.69 | Professional | 52 · Reduced service | $398.11 | $398.11 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $263.03 | Professional | 53 · Discontinued | $158.49 | $158.49 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $1,000.00 | Professional | 54 · Surgery only | $588.84 | $588.84 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $199.53 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $131.83 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $933.25 |
Where Nebraska sits
The same service costs 17.8 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
$1,995
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.