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 $1,548.82 Median $4,365.16 Typical High $11,481.54 | Facility | None | $1,548.82 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $954.99 | Professional | None | $457.09 | $457.09 | $954.99 |
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 $1,202.26 Median $1,288.25 Typical High $1,380.38 | Professional | None | $1,202.26 | $1,288.25 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,318.26 Typical High $1,584.89 | Facility | None | $645.65 | $1,318.26 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,202.26 | Professional | None | $933.25 | $1,096.48 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $1,348.96 Typical High $4,786.30 | Facility | None | $707.95 | $1,348.96 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $1,096.48 Typical High $3,715.35 | Professional | None | $588.84 | $1,096.48 | $3,715.35 |
Midlands Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,445.44 | Professional | None | $933.25 | $1,096.48 | $1,445.44 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $1,318.26 Typical High $1,698.24 | Facility | None | $645.65 | $1,318.26 | $1,698.24 |
Midlands Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,548.82 | Professional | None | $851.14 | $1,174.90 | $1,548.82 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $588.84 Median $977.24 Typical High $1,318.26 | Professional | None | $588.84 | $977.24 | $1,318.26 |
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 $229.09 Median $229.09 Typical High $389.05 | Professional | 52 · Reduced service | $229.09 | $229.09 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $154.88 | Professional | 53 · Discontinued | $91.20 | $91.20 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $588.84 | Professional | 54 · Surgery only | $346.74 | $346.74 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $117.49 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $77.62 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $549.54 |
Where Nebraska sits
The same service costs 7.6 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
$1,096
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.