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 $676.08 Median $676.08 Typical High $1,445.44 | Professional | None | $676.08 | $676.08 | $1,445.44 |
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 $5,011.87 Typical High $6,606.93 | Facility | None | $1,096.48 | $5,011.87 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,348.96 | $1,621.81 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $19,952.62 | Facility | None | $1,148.15 | $2,137.96 | $19,952.62 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,698.24 Typical High $5,495.41 | Professional | None | $891.25 | $1,698.24 | $5,495.41 |
Midlands Setting Professional Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,348.96 | $1,659.59 | $2,187.76 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $5,128.61 Typical High $6,760.83 | Facility | None | $1,096.48 | $5,128.61 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $2,290.87 | Professional | None | $1,258.93 | $1,698.24 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $8,912.51 | Facility | None | $1,288.25 | $2,238.72 | $8,912.51 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,479.11 Typical High $1,995.26 | Professional | None | $891.25 | $1,479.11 | $1,995.26 |
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 $338.84 Median $338.84 Typical High $575.44 | Professional | 52 · Reduced service | $338.84 | $338.84 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $229.09 | Professional | 53 · Discontinued | $134.90 | $134.90 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $870.96 | Professional | 54 · Surgery only | $512.86 | $512.86 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $173.78 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $114.82 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $812.83 |
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
$1,698
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.