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 $562.34 Median $562.34 Typical High $1,380.38 | Professional | None | $562.34 | $562.34 | $1,380.38 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,365.16 Median $5,888.44 Typical High $11,748.98 | Facility | None | $4,365.16 | $5,888.44 | $11,748.98 |
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 $4,168.69 Typical High $6,456.54 | Facility | None | $1,096.48 | $4,168.69 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $1,445.44 | Professional | None | $1,122.02 | $1,348.96 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,137.96 Typical High $19,952.62 | Facility | None | $1,122.02 | $2,137.96 | $19,952.62 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,380.38 Typical High $5,248.07 | Professional | None | $724.44 | $1,380.38 | $5,248.07 |
Midlands Setting Professional Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $1,819.70 | Professional | None | $1,122.02 | $1,348.96 | $1,819.70 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $5,128.61 Typical High $6,760.83 | Facility | None | $1,096.48 | $5,128.61 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $1,905.46 | Professional | None | $1,047.13 | $1,412.54 | $1,905.46 |
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 $724.44 Median $1,202.26 Typical High $1,659.59 | Professional | None | $724.44 | $1,202.26 | $1,659.59 |
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 $281.84 Median $281.84 Typical High $478.63 | Professional | 52 · Reduced service | $281.84 | $281.84 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $190.55 | Professional | 53 · Discontinued | $112.20 | $112.20 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $707.95 | Professional | 54 · Surgery only | $416.87 | $416.87 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $141.25 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $95.50 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $660.69 |
Where Nebraska sits
The same service costs 8.1 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· 3rd of 51
$1,413
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.