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 $281.84 Median $3,801.89 Typical High $11,481.54 | Facility | None | $281.84 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $457.09 Typical High $741.31 | Professional | None | $251.19 | $457.09 | $741.31 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,388.44 Median $4,570.88 Typical High $9,120.11 | Facility | None | $3,388.44 | $4,570.88 | $9,120.11 |
BCBS Nebraska Setting Professional Modifier None Typical Low $213.80 Median $371.54 Typical High $501.19 | Professional | None | $213.80 | $371.54 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $199.53 Typical High $239.88 | Facility | None | $162.18 | $199.53 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $724.44 | Professional | None | $489.78 | $575.44 | $724.44 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $257.04 Typical High $1,778.28 | Facility | None | $102.33 | $257.04 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $707.95 Typical High $2,238.72 | Professional | None | $346.74 | $707.95 | $2,238.72 |
Midlands Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $812.83 | Professional | None | $575.44 | $645.65 | $812.83 |
Midlands Setting Facility Modifier None Typical Low $151.36 Median $204.17 Typical High $251.19 | Facility | None | $151.36 | $204.17 | $251.19 |
Midlands Setting Professional Modifier None Typical Low $467.74 Median $812.83 Typical High $912.01 | Professional | None | $467.74 | $812.83 | $912.01 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $331.13 Median $562.34 Typical High $724.44 | Professional | None | $331.13 | $562.34 | $724.44 |
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 $125.89 Median $138.04 Typical High $208.93 | Professional | 52 · Reduced service | $125.89 | $138.04 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $56.23 Typical High $83.18 | Professional | 53 · Discontinued | $50.12 | $56.23 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $208.93 Typical High $316.23 | Professional | 54 · Surgery only | $186.21 | $208.93 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $41.69 Typical High $63.10 | Professional | 55 · Aftercare only | $37.15 | $41.69 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $28.18 Typical High $41.69 | Professional | 56 · Pre-op care only | $25.12 | $28.18 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $194.98 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $173.78 | $194.98 | $295.12 |
Where Nebraska sits
The same service costs 5.4 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· 11th of 51
$437
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.