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 $7,943.28 Typical High $19,952.62 | Facility | None | $5,011.87 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,258.93 | Professional | None | $616.60 | $616.60 | $1,258.93 |
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 $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 $1,288.25 Median $4,365.16 Typical High $5,754.40 | Facility | None | $1,288.25 | $4,365.16 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $1,621.81 | Professional | None | $1,258.93 | $1,479.11 | $1,621.81 |
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 $794.33 Median $1,513.56 Typical High $5,011.87 | Professional | None | $794.33 | $1,513.56 | $5,011.87 |
Midlands Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,258.93 | $1,513.56 | $1,995.26 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $4,466.84 Typical High $6,025.60 | Facility | None | $1,288.25 | $4,466.84 | $6,025.60 |
Midlands Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,089.30 | Professional | None | $1,148.15 | $1,548.82 | $2,089.30 |
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 $794.33 Median $1,318.26 Typical High $1,819.70 | Professional | None | $794.33 | $1,318.26 | $1,819.70 |
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 $309.03 Median $309.03 Typical High $524.81 | Professional | 52 · Reduced service | $309.03 | $309.03 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $208.93 | Professional | 53 · Discontinued | $123.03 | $123.03 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $776.25 | Professional | 54 · Surgery only | $467.74 | $467.74 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $154.88 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $104.71 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $724.44 |
Where Nebraska sits
The same service costs 8.1 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· 4th of 51
$1,549
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.