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 $4,677.35 Median $7,943.28 Typical High $21,877.62 | Facility | None | $4,677.35 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,187.76 | Professional | None | $1,288.25 | $1,288.25 | $2,187.76 |
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 $2,454.71 Median $3,715.35 Typical High $5,011.87 | Professional | None | $2,454.71 | $3,715.35 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $5,248.07 Typical High $5,623.41 | Facility | None | $4,570.88 | $5,248.07 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $3,311.31 | Professional | None | $2,398.83 | $3,019.95 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $2,691.53 Typical High $7,413.10 | Facility | None | $1,288.25 | $2,691.53 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $3,235.94 Typical High $11,481.54 | Professional | None | $1,698.24 | $3,235.94 | $11,481.54 |
Midlands Setting Professional Modifier None Typical Low $2,398.83 Median $3,162.28 Typical High $4,168.69 | Professional | None | $2,398.83 | $3,162.28 | $4,168.69 |
Midlands Setting Facility Modifier None Typical Low $4,570.88 Median $5,248.07 Typical High $7,762.47 | Facility | None | $4,570.88 | $5,248.07 | $7,762.47 |
Midlands Setting Professional Modifier None Typical Low $2,344.23 Median $3,019.95 Typical High $4,365.16 | Professional | None | $2,344.23 | $3,019.95 | $4,365.16 |
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 $1,698.24 Median $2,818.38 Typical High $3,801.89 | Professional | None | $1,698.24 | $2,818.38 | $3,801.89 |
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 $645.65 Median $645.65 Typical High $1,071.52 | Professional | 52 · Reduced service | $645.65 | $645.65 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $436.52 | Professional | 53 · Discontinued | $257.04 | $257.04 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $1,621.81 | Professional | 54 · Surgery only | $954.99 | $954.99 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $323.59 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $218.78 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $1,513.56 |
Where Nebraska sits
The same service costs 9.1 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
$3,162
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.