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 $5,011.87 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,011.87 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,479.11 | Professional | None | $870.96 | $870.96 | $1,479.11 |
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 $1,288.25 Median $2,454.71 Typical High $3,890.45 | Facility | None | $1,288.25 | $2,454.71 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,949.84 Typical High $2,290.87 | Professional | None | $1,778.28 | $1,949.84 | $2,290.87 |
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 $1,148.15 Median $2,187.76 Typical High $7,079.46 | Professional | None | $1,148.15 | $2,187.76 | $7,079.46 |
Midlands Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $2,818.38 | Professional | None | $1,698.24 | $2,137.96 | $2,818.38 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $2,630.27 Typical High $4,168.69 | Facility | None | $1,288.25 | $2,630.27 | $4,168.69 |
Midlands Setting Professional Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $2,951.21 | Professional | None | $1,621.81 | $2,137.96 | $2,951.21 |
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 $1,148.15 Median $1,905.46 Typical High $2,570.40 | Professional | None | $1,148.15 | $1,905.46 | $2,570.40 |
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 $436.52 Median $436.52 Typical High $741.31 | Professional | 52 · Reduced service | $436.52 | $436.52 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $295.12 | Professional | 53 · Discontinued | $173.78 | $173.78 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $1,122.02 | Professional | 54 · Surgery only | $660.69 | $660.69 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $223.87 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $147.91 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $616.60 | $616.60 | $1,047.13 |
Where Nebraska sits
The same service costs 16.2 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
$2,138
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.