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 $1,122.02 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,122.02 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,905.46 | Professional | None | $1,122.02 | $1,122.02 | $1,905.46 |
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 $3,388.44 Median $3,630.78 Typical High $4,073.80 | Professional | None | $3,388.44 | $3,630.78 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $5,754.40 Median $6,760.83 Typical High $7,079.46 | Facility | None | $5,754.40 | $6,760.83 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,691.53 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,691.53 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,818.38 Typical High $9,772.37 | Facility | None | $1,318.26 | $2,818.38 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $2,884.03 Typical High $14,791.08 | Professional | None | $1,513.56 | $2,884.03 | $14,791.08 |
Midlands Setting Professional Modifier None Typical Low $2,187.76 Median $2,818.38 Typical High $3,715.35 | Professional | None | $2,187.76 | $2,818.38 | $3,715.35 |
Midlands Setting Facility Modifier None Typical Low $5,754.40 Median $6,760.83 Typical High $10,000.00 | Facility | None | $5,754.40 | $6,760.83 | $10,000.00 |
Midlands Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $3,801.89 | Professional | None | $2,089.30 | $2,754.23 | $3,801.89 |
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 $1,513.56 Median $2,511.89 Typical High $3,467.37 | Professional | None | $1,513.56 | $2,511.89 | $3,467.37 |
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 $562.34 Median $562.34 Typical High $954.99 | Professional | 52 · Reduced service | $562.34 | $562.34 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $380.19 | Professional | 53 · Discontinued | $223.87 | $223.87 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $1,445.44 | Professional | 54 · Surgery only | $851.14 | $851.14 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $288.40 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $190.55 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $1,348.96 |
Where Nebraska sits
The same service costs 16.2 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· 4th of 51
$2,818
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.