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 $707.95 Median $7,585.78 Typical High $19,952.62 | Facility | None | $707.95 | $7,585.78 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,174.90 | Professional | None | $575.44 | $707.95 | $1,174.90 |
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 $512.86 Median $912.01 Typical High $1,288.25 | Professional | None | $512.86 | $912.01 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $4,073.80 Typical High $5,248.07 | Facility | None | $1,288.25 | $4,073.80 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $1,862.09 | Professional | None | $1,230.27 | $1,513.56 | $1,862.09 |
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 $954.99 Median $1,905.46 Typical High $5,754.40 | Professional | None | $954.99 | $1,905.46 | $5,754.40 |
Midlands Setting Professional Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $1,995.26 | Professional | None | $1,445.44 | $1,778.28 | $1,995.26 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $6,309.57 | Facility | None | $1,288.25 | $4,168.69 | $6,309.57 |
Midlands Setting Professional Modifier None Typical Low $1,071.52 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,071.52 | $1,862.09 | $2,511.89 |
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 $831.76 Median $1,380.38 Typical High $1,905.46 | Professional | None | $831.76 | $1,380.38 | $1,905.46 |
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 $288.40 Median $354.81 Typical High $478.63 | Professional | 52 · Reduced service | $288.40 | $354.81 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $141.25 Typical High $194.98 | Professional | 53 · Discontinued | $114.82 | $141.25 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $537.03 Typical High $724.44 | Professional | 54 · Surgery only | $436.52 | $537.03 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $107.15 Typical High $144.54 | Professional | 55 · Aftercare only | $87.10 | $107.15 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $70.79 Typical High $97.72 | Professional | 56 · Pre-op care only | $57.54 | $70.79 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $501.19 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $407.38 | $501.19 | $676.08 |
Where Nebraska sits
The same service costs 6.6 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.