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 $630.96 Median $630.96 Typical High $1,479.11 | Professional | None | $630.96 | $630.96 | $1,479.11 |
BCBS Nebraska Setting Facility Modifier None Typical Low $9,332.54 Median $12,589.25 Typical High $25,118.86 | Facility | None | $9,332.54 | $12,589.25 | $25,118.86 |
Cigna Setting Facility Modifier None Typical Low $5,495.41 Median $6,456.54 Typical High $6,760.83 | Facility | None | $5,495.41 | $6,456.54 | $6,760.83 |
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 $1,258.93 Median $3,090.30 Typical High $5,754.40 | Facility | None | $1,258.93 | $3,090.30 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,584.89 Typical High $7,943.28 | Professional | None | $851.14 | $1,584.89 | $7,943.28 |
Midlands Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,258.93 | $1,584.89 | $2,089.30 |
Midlands Setting Facility Modifier None Typical Low $5,495.41 Median $6,456.54 Typical High $9,549.93 | Facility | None | $5,495.41 | $6,456.54 | $9,549.93 |
Midlands Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,148.15 | $1,584.89 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $8,912.51 | Facility | None | $1,698.24 | $3,801.89 | $8,912.51 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,412.54 Typical High $1,905.46 | Professional | None | $851.14 | $1,412.54 | $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 $316.23 Median $316.23 Typical High $537.03 | Professional | 52 · Reduced service | $316.23 | $316.23 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $218.78 | Professional | 53 · Discontinued | $125.89 | $125.89 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $812.83 | Professional | 54 · Surgery only | $467.74 | $467.74 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $162.18 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $107.15 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $758.58 |
Where Nebraska sits
The same service costs 7.2 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· 4th of 51
$1,585
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.