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 $4,677.35 Median $7,943.28 Typical High $21,877.62 | Facility | None | $4,677.35 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,659.59 | Professional | None | $954.99 | $954.99 | $1,659.59 |
BCBS Nebraska Setting Facility Modifier None Typical Low $13,182.57 Median $17,782.79 Typical High $35,481.34 | Facility | None | $13,182.57 | $17,782.79 | $35,481.34 |
BCBS Nebraska Setting Professional Modifier None Typical Low $13,803.84 Median $14,454.40 Typical High $15,135.61 | Professional | None | $13,803.84 | $14,454.40 | $15,135.61 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $10,715.19 Typical High $17,378.01 | Facility | None | $1,380.38 | $10,715.19 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,290.87 Typical High $2,511.89 | Professional | None | $1,905.46 | $2,290.87 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,318.26 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $2,398.83 Typical High $7,762.47 | Professional | None | $1,288.25 | $2,398.83 | $7,762.47 |
Midlands Setting Professional Modifier None Typical Low $1,905.46 Median $2,398.83 Typical High $3,162.28 | Professional | None | $1,905.46 | $2,398.83 | $3,162.28 |
Midlands Setting Facility Modifier None Typical Low $1,380.38 Median $11,748.98 Typical High $17,782.79 | Facility | None | $1,380.38 | $11,748.98 | $17,782.79 |
Midlands Setting Professional Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $3,311.31 | Professional | None | $1,778.28 | $2,344.23 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $8,912.51 | Facility | None | $1,380.38 | $3,019.95 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $2,884.03 | Professional | None | $1,288.25 | $2,137.96 | $2,884.03 |
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 $478.63 Median $478.63 Typical High $831.76 | Professional | 52 · Reduced service | $478.63 | $478.63 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $331.13 | Professional | 53 · Discontinued | $194.98 | $194.98 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $1,230.27 | Professional | 54 · Surgery only | $724.44 | $724.44 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $245.47 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $165.96 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $1,148.15 |
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
$2,399
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.