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 $1,659.59 Median $5,011.87 Typical High $11,481.54 | Facility | None | $1,659.59 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $1,318.26 | Professional | None | $588.84 | $588.84 | $1,318.26 |
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 $954.99 Median $2,398.83 Typical High $2,951.21 | Facility | None | $954.99 | $2,398.83 | $2,951.21 |
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 $1,122.02 Median $2,137.96 Typical High $8,912.51 | Facility | None | $1,122.02 | $2,137.96 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,677.35 | Professional | None | $758.58 | $1,445.44 | $4,677.35 |
Midlands Setting Professional Modifier None Typical Low $1,174.90 Median $1,412.54 Typical High $1,905.46 | Professional | None | $1,174.90 | $1,412.54 | $1,905.46 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $2,454.71 Typical High $3,162.28 | Facility | None | $954.99 | $2,454.71 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $1,949.84 | Professional | None | $1,071.52 | $1,479.11 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $6,309.57 | Facility | None | $1,288.25 | $2,238.72 | $6,309.57 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,258.93 Typical High $1,737.80 | Professional | None | $758.58 | $1,258.93 | $1,737.80 |
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 $295.12 Median $295.12 Typical High $501.19 | Professional | 52 · Reduced service | $295.12 | $295.12 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $199.53 | Professional | 53 · Discontinued | $117.49 | $117.49 | $199.53 |
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 $58.88 Median $58.88 Typical High $100.00 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $100.00 |
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 18.6 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.