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 $707.95 Median $707.95 Typical High $1,445.44 | Professional | None | $707.95 | $707.95 | $1,445.44 |
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 $1,096.48 Median $2,454.71 Typical High $3,890.45 | Facility | None | $1,096.48 | $2,454.71 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $1,819.70 | Professional | None | $1,412.54 | $1,659.59 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $8,912.51 | Facility | None | $1,318.26 | $2,951.21 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,737.80 Typical High $6,309.57 | Professional | None | $933.25 | $1,737.80 | $6,309.57 |
Midlands Setting Professional Modifier None Typical Low $1,412.54 Median $1,737.80 Typical High $2,290.87 | Professional | None | $1,412.54 | $1,737.80 | $2,290.87 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $2,630.27 Typical High $4,168.69 | Facility | None | $1,096.48 | $2,630.27 | $4,168.69 |
Midlands Setting Professional Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,288.25 | $1,737.80 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $6,606.93 | Facility | None | $1,380.38 | $3,019.95 | $6,606.93 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,513.56 Typical High $2,089.30 | Professional | None | $933.25 | $1,513.56 | $2,089.30 |
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 $354.81 Median $354.81 Typical High $602.56 | Professional | 52 · Reduced service | $354.81 | $354.81 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $239.88 | Professional | 53 · Discontinued | $141.25 | $141.25 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $891.25 | Professional | 54 · Surgery only | $524.81 | $524.81 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $177.83 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $120.23 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $831.76 |
Where Nebraska sits
The same service costs 8.3 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
$1,738
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.