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 $234.42 Median $3,801.89 Typical High $11,481.54 | Facility | None | $234.42 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $234.42 Typical High $398.11 | Professional | None | $151.36 | $234.42 | $398.11 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,677.35 Median $6,309.57 Typical High $12,589.25 | Facility | None | $4,677.35 | $6,309.57 | $12,589.25 |
BCBS Nebraska Setting Professional Modifier None Typical Low $131.83 Median $234.42 Typical High $302.00 | Professional | None | $131.83 | $234.42 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $309.03 Typical High $354.81 | Facility | None | $257.04 | $309.03 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $501.19 Typical High $616.60 | Professional | None | $323.59 | $501.19 | $616.60 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $1,071.52 Typical High $3,019.95 | Facility | None | $288.40 | $1,071.52 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $616.60 Typical High $1,905.46 | Professional | None | $316.23 | $616.60 | $1,905.46 |
Midlands Setting Professional Modifier None Typical Low $380.19 Median $524.81 Typical High $645.65 | Professional | None | $380.19 | $524.81 | $645.65 |
Midlands Setting Facility Modifier None Typical Low $257.04 Median $309.03 Typical High $380.19 | Facility | None | $257.04 | $309.03 | $380.19 |
Midlands Setting Professional Modifier None Typical Low $281.84 Median $501.19 Typical High $812.83 | Professional | None | $281.84 | $501.19 | $812.83 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $218.78 Median $371.54 Typical High $645.65 | Professional | None | $218.78 | $371.54 | $645.65 |
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 $75.86 Median $117.49 Typical High $125.89 | Professional | 52 · Reduced service | $75.86 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $47.86 Typical High $51.29 | Professional | 53 · Discontinued | $30.20 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $177.83 Typical High $190.55 | Professional | 54 · Surgery only | $112.20 | $177.83 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $35.48 Typical High $38.02 | Professional | 55 · Aftercare only | $22.39 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $23.44 Typical High $25.70 | Professional | 56 · Pre-op care only | $15.14 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $165.96 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $104.71 | $165.96 | $177.83 |
Where Nebraska sits
The same service costs 3.7 times more in Alaska than in Utah. 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· 15th of 51
$302
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.