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 $912.01 Median $912.01 Typical High $1,584.89 | Professional | None | $912.01 | $912.01 | $1,584.89 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,128.31 Median $10,964.78 Typical High $21,877.62 | Facility | None | $8,128.31 | $10,964.78 | $21,877.62 |
BCBS Nebraska Setting Professional Modifier None Typical Low $9,549.93 Median $10,232.93 Typical High $10,964.78 | Professional | None | $9,549.93 | $10,232.93 | $10,964.78 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $8,511.38 Typical High $12,022.64 | Facility | None | $1,380.38 | $8,511.38 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,187.76 Typical High $2,398.83 | Professional | None | $1,778.28 | $2,187.76 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $26,302.68 | Facility | None | $1,513.56 | $3,715.35 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $2,290.87 Typical High $7,413.10 | Professional | None | $1,202.26 | $2,290.87 | $7,413.10 |
Midlands Setting Professional Modifier None Typical Low $1,778.28 Median $2,290.87 Typical High $3,019.95 | Professional | None | $1,778.28 | $2,290.87 | $3,019.95 |
Midlands Setting Facility Modifier None Typical Low $1,380.38 Median $10,000.00 Typical High $12,589.25 | Facility | None | $1,380.38 | $10,000.00 | $12,589.25 |
Midlands Setting Professional Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $3,090.30 | Professional | None | $1,698.24 | $2,238.72 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $9,772.37 | Facility | None | $1,698.24 | $3,801.89 | $9,772.37 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,202.26 | $1,995.26 | $2,754.23 |
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 $457.09 Median $457.09 Typical High $776.25 | Professional | 52 · Reduced service | $457.09 | $457.09 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $309.03 | Professional | 53 · Discontinued | $181.97 | $181.97 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $1,174.90 | Professional | 54 · Surgery only | $691.83 | $691.83 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $234.42 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $154.88 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $1,096.48 |
Where Nebraska sits
The same service costs 8.5 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
$2,291
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.