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 $870.96 Median $870.96 Typical High $1,584.89 | Professional | None | $870.96 | $870.96 | $1,584.89 |
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 $5,248.07 Typical High $8,128.31 | Facility | None | $1,380.38 | $5,248.07 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $2,041.74 Typical High $2,238.72 | Professional | None | $1,698.24 | $2,041.74 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $19,952.62 | Facility | None | $1,513.56 | $3,715.35 | $19,952.62 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $6,918.31 | Professional | None | $1,148.15 | $2,137.96 | $6,918.31 |
Midlands Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $2,818.38 | Professional | None | $1,698.24 | $2,137.96 | $2,818.38 |
Midlands Setting Facility Modifier None Typical Low $1,380.38 Median $6,025.60 Typical High $8,709.64 | Facility | None | $1,380.38 | $6,025.60 | $8,709.64 |
Midlands Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $2,951.21 | Professional | None | $1,584.89 | $2,137.96 | $2,951.21 |
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 $1,148.15 Median $1,905.46 Typical High $2,570.40 | Professional | None | $1,148.15 | $1,905.46 | $2,570.40 |
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 $426.58 Median $426.58 Typical High $741.31 | Professional | 52 · Reduced service | $426.58 | $426.58 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $295.12 | Professional | 53 · Discontinued | $173.78 | $173.78 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $1,096.48 | Professional | 54 · Surgery only | $645.65 | $645.65 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $218.78 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $147.91 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $1,023.29 |
Where Nebraska sits
The same service costs 7.9 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
$2,138
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.