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 $467.74 Median $467.74 Typical High $1,479.11 | Professional | None | $467.74 | $467.74 | $1,479.11 |
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 $5,370.32 Median $5,623.41 Typical High $5,888.44 | Professional | None | $5,370.32 | $5,623.41 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $4,073.80 Typical High $5,623.41 | Facility | None | $1,380.38 | $4,073.80 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,230.27 | Professional | None | $891.25 | $1,122.02 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $1,819.70 Typical High $21,379.62 | Facility | None | $1,023.29 | $1,819.70 | $21,379.62 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,202.26 Typical High $5,888.44 | Professional | None | $630.96 | $1,202.26 | $5,888.44 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $1,230.27 Typical High $1,479.11 | Professional | None | $891.25 | $1,230.27 | $1,479.11 |
Midlands Setting Facility Modifier None Typical Low $1,380.38 Median $4,168.69 Typical High $6,309.57 | Facility | None | $1,380.38 | $4,168.69 | $6,309.57 |
Midlands Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,513.56 | Professional | None | $870.96 | $1,122.02 | $1,513.56 |
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 $630.96 Median $1,047.13 Typical High $1,445.44 | Professional | None | $630.96 | $1,047.13 | $1,445.44 |
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 $234.42 Median $234.42 Typical High $389.05 | Professional | 52 · Reduced service | $234.42 | $234.42 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $154.88 | Professional | 53 · Discontinued | $93.33 | $93.33 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $588.84 | Professional | 54 · Surgery only | $346.74 | $346.74 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $117.49 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $77.62 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $549.54 |
Where Nebraska sits
The same service costs 18.2 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· 3rd of 51
$1,230
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.