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 $794.33 Median $794.33 Typical High $1,479.11 | Professional | None | $794.33 | $794.33 | $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 $1,096.48 Median $5,248.07 Typical High $7,244.36 | Facility | None | $1,096.48 | $5,248.07 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $2,041.74 | Professional | None | $1,548.82 | $1,862.09 | $2,041.74 |
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 $1,047.13 Median $1,949.84 Typical High $6,309.57 | Professional | None | $1,047.13 | $1,949.84 | $6,309.57 |
Midlands Setting Professional Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $2,570.40 | Professional | None | $1,548.82 | $1,949.84 | $2,570.40 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $5,495.41 Typical High $7,585.78 | Facility | None | $1,096.48 | $5,495.41 | $7,585.78 |
Midlands Setting Professional Modifier None Typical Low $1,445.44 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,445.44 | $1,949.84 | $2,691.53 |
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 $1,047.13 Median $1,737.80 Typical High $2,344.23 | Professional | None | $1,047.13 | $1,737.80 | $2,344.23 |
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 $389.05 Median $389.05 Typical High $676.08 | Professional | 52 · Reduced service | $389.05 | $389.05 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $269.15 | Professional | 53 · Discontinued | $158.49 | $158.49 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $1,000.00 | Professional | 54 · Surgery only | $588.84 | $588.84 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $199.53 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $134.90 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $933.25 |
Where Nebraska sits
The same service costs 8.1 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
$1,950
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.