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 $933.25 Median $933.25 Typical High $1,584.89 | Professional | None | $933.25 | $933.25 | $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 $5,011.87 Median $5,370.32 Typical High $5,754.40 | Professional | None | $5,011.87 | $5,370.32 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,754.23 Typical High $6,456.54 | Facility | None | $1,096.48 | $2,754.23 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $2,398.83 | Professional | None | $1,862.09 | $2,187.76 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,137.96 Typical High $19,952.62 | Facility | None | $1,174.90 | $2,137.96 | $19,952.62 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $2,290.87 Typical High $7,413.10 | Professional | None | $1,230.27 | $2,290.87 | $7,413.10 |
Midlands Setting Professional Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $3,019.95 | Professional | None | $1,819.70 | $2,290.87 | $3,019.95 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $4,168.69 Typical High $6,760.83 | Facility | None | $1,096.48 | $4,168.69 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,698.24 Median $2,290.87 Typical High $3,162.28 | Professional | None | $1,698.24 | $2,290.87 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $8,912.51 | Facility | None | $1,288.25 | $2,238.72 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $2,041.74 Typical High $2,754.23 | Professional | None | $1,230.27 | $2,041.74 | $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 $794.33 | Professional | 52 · Reduced service | $457.09 | $457.09 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $316.23 | Professional | 53 · Discontinued | $186.21 | $186.21 | $316.23 |
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 $93.33 Median $93.33 Typical High $158.49 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $158.49 |
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 8.3 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
$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.