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 $288.40 Median $3,801.89 Typical High $11,481.54 | Facility | None | $288.40 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $288.40 Typical High $602.56 | Professional | None | $275.42 | $288.40 | $602.56 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,388.44 Median $4,570.88 Typical High $9,120.11 | Facility | None | $3,388.44 | $4,570.88 | $9,120.11 |
BCBS Nebraska Setting Professional Modifier None Typical Low $234.42 Median $407.38 Typical High $549.54 | Professional | None | $234.42 | $407.38 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $234.42 Typical High $645.65 | Facility | None | $173.78 | $234.42 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $741.31 | Professional | None | $549.54 | $645.65 | $741.31 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $281.84 Typical High $1,995.26 | Facility | None | $114.82 | $281.84 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $741.31 Typical High $2,344.23 | Professional | None | $363.08 | $741.31 | $2,344.23 |
Midlands Setting Professional Modifier None Typical Low $645.65 Median $691.83 Typical High $851.14 | Professional | None | $645.65 | $691.83 | $851.14 |
Midlands Setting Facility Modifier None Typical Low $177.83 Median $223.87 Typical High $645.65 | Facility | None | $177.83 | $223.87 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $512.86 Median $831.76 Typical High $954.99 | Professional | None | $512.86 | $831.76 | $954.99 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $363.08 Median $602.56 Typical High $758.58 | Professional | None | $363.08 | $602.56 | $758.58 |
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 $138.04 Median $144.54 Typical High $234.42 | Professional | 52 · Reduced service | $138.04 | $144.54 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $57.54 Typical High $93.33 | Professional | 53 · Discontinued | $54.95 | $57.54 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $213.80 Typical High $346.74 | Professional | 54 · Surgery only | $204.17 | $213.80 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $42.66 Typical High $69.18 | Professional | 55 · Aftercare only | $40.74 | $42.66 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $28.84 Typical High $46.77 | Professional | 56 · Pre-op care only | $27.54 | $28.84 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $199.53 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $190.55 | $199.53 | $323.59 |
Where Nebraska sits
The same service costs 5.5 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
$479
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.