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 $4,677.35 Median $7,943.28 Typical High $21,877.62 | Facility | None | $4,677.35 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,398.83 | Professional | None | $1,412.54 | $1,412.54 | $2,398.83 |
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 $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 $1,949.84 Typical High $2,884.03 | Facility | None | $1,288.25 | $1,949.84 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $3,311.31 Typical High $3,630.78 | Professional | None | $2,818.38 | $3,311.31 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,513.56 Typical High $8,912.51 | Facility | None | $794.33 | $1,513.56 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $3,467.37 Typical High $11,481.54 | Professional | None | $1,819.70 | $3,467.37 | $11,481.54 |
Midlands Setting Professional Modifier None Typical Low $2,818.38 Median $3,388.44 Typical High $4,466.84 | Professional | None | $2,818.38 | $3,388.44 | $4,466.84 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $2,344.23 Typical High $3,019.95 | Facility | None | $1,288.25 | $2,344.23 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $2,570.40 Median $3,548.13 Typical High $4,786.30 | Professional | None | $2,570.40 | $3,548.13 | $4,786.30 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $4,073.80 | Facility | None | $707.95 | $1,445.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $3,019.95 Typical High $4,168.69 | Professional | None | $1,819.70 | $3,019.95 | $4,168.69 |
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 $691.83 Median $691.83 Typical High $1,174.90 | Professional | 52 · Reduced service | $691.83 | $691.83 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $478.63 | Professional | 53 · Discontinued | $281.84 | $281.84 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $354.81 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $239.88 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $1,659.59 |
Where Nebraska sits
The same service costs 15.8 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· 7th of 51
$3,020
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.