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 $5,011.87 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,011.87 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,202.26 | Professional | None | $575.44 | $575.44 | $1,202.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,317.64 Median $10,964.78 Typical High $22,387.21 | Facility | None | $8,317.64 | $10,964.78 | $22,387.21 |
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 $1,288.25 Median $4,365.16 Typical High $6,456.54 | Facility | None | $1,288.25 | $4,365.16 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $1,513.56 | Professional | None | $1,174.90 | $1,380.38 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $19,952.62 | Facility | None | $1,096.48 | $1,819.70 | $19,952.62 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,412.54 Typical High $4,677.35 | Professional | None | $758.58 | $1,412.54 | $4,677.35 |
Midlands Setting Professional Modifier None Typical Low $1,174.90 Median $1,412.54 Typical High $1,862.09 | Professional | None | $1,174.90 | $1,412.54 | $1,862.09 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $5,128.61 Typical High $6,760.83 | Facility | None | $1,288.25 | $5,128.61 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,071.52 | $1,445.44 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $8,128.31 | Facility | None | $1,174.90 | $1,862.09 | $8,128.31 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,258.93 Typical High $1,698.24 | Professional | None | $758.58 | $1,258.93 | $1,698.24 |
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 $288.40 Median $288.40 Typical High $489.78 | Professional | 52 · Reduced service | $288.40 | $288.40 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $194.98 | Professional | 53 · Discontinued | $114.82 | $114.82 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $741.31 | Professional | 54 · Surgery only | $436.52 | $436.52 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $147.91 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $97.72 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $691.83 |
Where Nebraska sits
The same service costs 8.3 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
$1,445
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.