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 $660.69 Median $4,466.84 Typical High $11,481.54 | Facility | None | $660.69 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $1,096.48 | Professional | None | $549.54 | $660.69 | $1,096.48 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,025.60 Median $8,128.31 Typical High $16,218.10 | Facility | None | $6,025.60 | $8,128.31 | $16,218.10 |
BCBS Nebraska Setting Professional Modifier None Typical Low $478.63 Median $851.14 Typical High $1,096.48 | Professional | None | $478.63 | $851.14 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,412.54 | Facility | None | $707.95 | $1,000.00 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,698.24 | Professional | None | $1,122.02 | $1,318.26 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $1,348.96 Typical High $3,715.35 | Facility | None | $691.83 | $1,348.96 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,698.24 Typical High $5,248.07 | Professional | None | $851.14 | $1,698.24 | $5,248.07 |
Midlands Setting Professional Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,548.82 | $1,819.70 |
Midlands Setting Facility Modifier None Typical Low $676.08 Median $1,000.00 Typical High $1,412.54 | Facility | None | $676.08 | $1,000.00 | $1,412.54 |
Midlands Setting Professional Modifier None Typical Low $1,023.29 Median $1,778.28 Typical High $2,238.72 | Professional | None | $1,023.29 | $1,778.28 | $2,238.72 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,288.25 Typical High $1,698.24 | Professional | None | $758.58 | $1,288.25 | $1,698.24 |
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 $275.42 Median $323.59 Typical High $457.09 | Professional | 52 · Reduced service | $275.42 | $323.59 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $131.83 Typical High $181.97 | Professional | 53 · Discontinued | $109.65 | $131.83 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $489.78 Typical High $676.08 | Professional | 54 · Surgery only | $407.38 | $489.78 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $97.72 Typical High $134.90 | Professional | 55 · Aftercare only | $81.28 | $97.72 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $66.07 Typical High $91.20 | Professional | 56 · Pre-op care only | $54.95 | $66.07 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $457.09 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $380.19 | $457.09 | $630.96 |
Where Nebraska sits
The same service costs 5.6 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· 13th of 51
$1,023
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.