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 $4,897.79 Median $8,511.38 Typical High $21,877.62 | Facility | None | $4,897.79 | $8,511.38 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $3,801.89 | Professional | None | $1,778.28 | $2,238.72 | $3,801.89 |
BCBS Nebraska Setting Facility Modifier None Typical Low $12,022.64 Median $15,848.93 Typical High $32,359.37 | Facility | None | $12,022.64 | $15,848.93 | $32,359.37 |
Cigna Setting Facility Modifier None Typical Low $13,803.84 Median $16,218.10 Typical High $16,982.44 | Facility | None | $13,803.84 | $16,218.10 | $16,982.44 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $5,370.32 Typical High $5,754.40 | Professional | None | $4,265.80 | $5,370.32 | $5,754.40 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $3,890.45 Typical High $10,471.29 | Facility | None | $1,737.80 | $3,890.45 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $3,019.95 Median $5,623.41 Typical High $20,892.96 | Professional | None | $3,019.95 | $5,623.41 | $20,892.96 |
Midlands Setting Professional Modifier None Typical Low $4,265.80 Median $5,623.41 Typical High $7,413.10 | Professional | None | $4,265.80 | $5,623.41 | $7,413.10 |
Midlands Setting Facility Modifier None Typical Low $13,803.84 Median $16,218.10 Typical High $23,988.33 | Facility | None | $13,803.84 | $16,218.10 | $23,988.33 |
Midlands Setting Professional Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $7,585.78 | Professional | None | $4,073.80 | $5,370.32 | $7,585.78 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $3,981.07 Typical High $13,803.84 | Facility | None | $1,819.70 | $3,981.07 | $13,803.84 |
United Setting Professional Modifier None Typical Low $3,019.95 Median $5,011.87 Typical High $6,760.83 | Professional | None | $3,019.95 | $5,011.87 | $6,760.83 |
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 $1,122.02 Median $1,122.02 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $758.58 | Professional | 53 · Discontinued | $446.68 | $446.68 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $2,884.03 | Professional | 54 · Surgery only | $1,659.59 | $1,659.59 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $575.44 | Professional | 55 · Aftercare only | $331.13 | $331.13 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $380.19 | Professional | 56 · Pre-op care only | $223.87 | $223.87 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $2,691.53 |
Where Nebraska sits
The same service costs 25.7 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
$5,495
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.