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 $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $1,380.38 | Professional | None | $501.19 | $501.19 | $1,380.38 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,760.83 Median $8,912.51 Typical High $18,197.01 | Facility | None | $6,760.83 | $8,912.51 | $18,197.01 |
BCBS Nebraska Setting Professional Modifier None Typical Low $549.54 Median $588.84 Typical High $616.60 | Professional | None | $549.54 | $588.84 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $588.84 Typical High $1,096.48 | Facility | None | $169.82 | $588.84 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,318.26 | Professional | None | $1,000.00 | $1,148.15 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $851.14 Typical High $3,890.45 | Facility | None | $489.78 | $851.14 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,230.27 Typical High $4,265.80 | Professional | None | $660.69 | $1,230.27 | $4,265.80 |
Midlands Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,621.81 | Professional | None | $1,000.00 | $1,230.27 | $1,621.81 |
Midlands Setting Facility Modifier None Typical Low $154.88 Median $630.96 Typical High $1,096.48 | Facility | None | $154.88 | $630.96 | $1,096.48 |
Midlands Setting Professional Modifier None Typical Low $933.25 Median $1,258.93 Typical High $1,698.24 | Professional | None | $933.25 | $1,258.93 | $1,698.24 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,754.23 | Facility | None | $467.74 | $851.14 | $2,754.23 |
United Setting Professional Modifier None Typical Low $660.69 Median $1,047.13 Typical High $1,318.26 | Professional | None | $660.69 | $1,047.13 | $1,318.26 |
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 $251.19 Median $251.19 Typical High $426.58 | Professional | 52 · Reduced service | $251.19 | $251.19 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $169.82 | Professional | 53 · Discontinued | $100.00 | $100.00 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $630.96 | Professional | 54 · Surgery only | $371.54 | $371.54 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $125.89 | Professional | 55 · Aftercare only | $74.13 | $74.13 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $85.11 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $346.74 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $346.74 | $346.74 | $588.84 |
Where Nebraska sits
The same service costs 6.3 times more in Alaska than in Utah. 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· 6th of 51
$1,072
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.