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 $1,548.82 Median $4,365.16 Typical High $11,481.54 | Facility | None | $1,548.82 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $954.99 | Professional | None | $389.05 | $389.05 | $954.99 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,168.69 Median $5,495.41 Typical High $11,220.18 | Facility | None | $4,168.69 | $5,495.41 | $11,220.18 |
BCBS Nebraska Setting Professional Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $2,570.40 | Professional | None | $2,290.87 | $2,454.71 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,995.26 Typical High $2,884.03 | Facility | None | $645.65 | $1,995.26 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,023.29 | Professional | None | $794.33 | $933.25 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,819.70 Typical High $8,912.51 | Facility | None | $870.96 | $1,819.70 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $954.99 Typical High $3,162.28 | Professional | None | $501.19 | $954.99 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,258.93 | Professional | None | $794.33 | $933.25 | $1,258.93 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $2,344.23 Typical High $3,019.95 | Facility | None | $645.65 | $2,344.23 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $724.44 Median $1,000.00 Typical High $1,318.26 | Professional | None | $724.44 | $1,000.00 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,174.90 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $501.19 Median $831.76 Typical High $1,148.15 | Professional | None | $501.19 | $831.76 | $1,148.15 |
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 $194.98 Median $194.98 Typical High $331.13 | Professional | 52 · Reduced service | $194.98 | $194.98 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $131.83 | Professional | 53 · Discontinued | $77.62 | $77.62 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $501.19 | Professional | 54 · Surgery only | $295.12 | $295.12 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $100.00 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $66.07 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $275.42 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $275.42 | $275.42 | $467.74 |
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
$1,000
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.