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 $724.44 Median $724.44 Typical High $1,479.11 | Professional | None | $724.44 | $724.44 | $1,479.11 |
BCBS Nebraska Setting Facility Modifier None Typical Low $7,413.10 Median $10,000.00 Typical High $20,417.38 | Facility | None | $7,413.10 | $10,000.00 | $20,417.38 |
BCBS Nebraska Setting Professional Modifier None Typical Low $5,011.87 Median $5,370.32 Typical High $5,754.40 | Professional | None | $5,011.87 | $5,370.32 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $4,168.69 Typical High $6,456.54 | Facility | None | $1,380.38 | $4,168.69 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $1,905.46 | Professional | None | $1,445.44 | $1,737.80 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $19,952.62 | Facility | None | $1,148.15 | $2,137.96 | $19,952.62 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,819.70 Typical High $5,888.44 | Professional | None | $954.99 | $1,819.70 | $5,888.44 |
Midlands Setting Professional Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $2,344.23 | Professional | None | $1,445.44 | $1,778.28 | $2,344.23 |
Midlands Setting Facility Modifier None Typical Low $1,380.38 Median $5,128.61 Typical High $6,760.83 | Facility | None | $1,380.38 | $5,128.61 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,348.96 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,348.96 | $1,819.70 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $8,912.51 | Facility | None | $1,288.25 | $2,238.72 | $8,912.51 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,584.89 Typical High $2,187.76 | Professional | None | $954.99 | $1,584.89 | $2,187.76 |
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 $363.08 Median $363.08 Typical High $616.60 | Professional | 52 · Reduced service | $363.08 | $363.08 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $251.19 | Professional | 53 · Discontinued | $147.91 | $147.91 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $933.25 | Professional | 54 · Surgery only | $549.54 | $549.54 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $186.21 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $125.89 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $870.96 |
Where Nebraska sits
The same service costs 7.4 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
$1,820
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.