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 $234.42 Median $3,801.89 Typical High $11,481.54 | Facility | None | $234.42 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $389.05 | Professional | None | $144.54 | $234.42 | $389.05 |
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 $128.82 Median $229.09 Typical High $295.12 | Professional | None | $128.82 | $229.09 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $309.03 Typical High $354.81 | Facility | None | $257.04 | $309.03 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $489.78 Typical High $602.56 | Professional | None | $316.23 | $489.78 | $602.56 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $660.69 Typical High $2,290.87 | Facility | None | $275.42 | $660.69 | $2,290.87 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $616.60 Typical High $1,905.46 | Professional | None | $316.23 | $616.60 | $1,905.46 |
Midlands Setting Professional Modifier None Typical Low $371.54 Median $524.81 Typical High $645.65 | Professional | None | $371.54 | $524.81 | $645.65 |
Midlands Setting Facility Modifier None Typical Low $257.04 Median $309.03 Typical High $389.05 | Facility | None | $257.04 | $309.03 | $389.05 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $489.78 Typical High $812.83 | Professional | None | $269.15 | $489.78 | $812.83 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,818.38 | Facility | None | $467.74 | $851.14 | $2,818.38 |
United Setting Professional Modifier None Typical Low $213.80 Median $363.08 Typical High $630.96 | Professional | None | $213.80 | $363.08 | $630.96 |
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 $72.44 Median $117.49 Typical High $123.03 | Professional | 52 · Reduced service | $72.44 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $46.77 Typical High $48.98 | Professional | 53 · Discontinued | $29.51 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $173.78 Typical High $186.21 | Professional | 54 · Surgery only | $109.65 | $173.78 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $34.67 Typical High $37.15 | Professional | 55 · Aftercare only | $21.88 | $34.67 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $23.44 Typical High $24.55 | Professional | 56 · Pre-op care only | $14.45 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $162.18 Typical High $173.78 | Professional | 78 · Unplanned return to OR | $102.33 | $162.18 | $173.78 |
Where Nebraska sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 17th of 51
$295
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.