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 $1,288.25 Median $1,288.25 Typical High $2,187.76 | Professional | None | $1,288.25 | $1,288.25 | $2,187.76 |
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 $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 $1,071.52 Median $1,380.38 Typical High $1,659.59 | Facility | None | $1,071.52 | $1,380.38 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $3,090.30 Typical High $3,388.44 | Professional | None | $2,630.27 | $3,090.30 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,513.56 Typical High $6,760.83 | Facility | None | $794.33 | $1,513.56 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $3,235.94 Typical High $10,471.29 | Professional | None | $1,698.24 | $3,235.94 | $10,471.29 |
Midlands Setting Professional Modifier None Typical Low $2,630.27 Median $3,162.28 Typical High $4,168.69 | Professional | None | $2,630.27 | $3,162.28 | $4,168.69 |
Midlands Setting Facility Modifier None Typical Low $1,122.02 Median $1,380.38 Typical High $1,621.81 | Facility | None | $1,122.02 | $1,380.38 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $2,398.83 Median $3,235.94 Typical High $4,466.84 | Professional | None | $2,398.83 | $3,235.94 | $4,466.84 |
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 $1,698.24 Median $2,818.38 Typical High $3,801.89 | Professional | None | $1,698.24 | $2,818.38 | $3,801.89 |
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 $645.65 Median $645.65 Typical High $1,096.48 | Professional | 52 · Reduced service | $645.65 | $645.65 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $436.52 | Professional | 53 · Discontinued | $257.04 | $257.04 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $1,659.59 | Professional | 54 · Surgery only | $977.24 | $977.24 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $331.13 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $218.78 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $912.01 | $912.01 | $1,548.82 |
Where Nebraska sits
The same service costs 17.0 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· 6th of 51
$2,754
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.