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 $1,659.59 Median $5,011.87 Typical High $11,481.54 | Facility | None | $1,659.59 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,445.44 | Professional | None | $741.31 | $741.31 | $1,445.44 |
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 $954.99 Median $1,995.26 Typical High $2,884.03 | Facility | None | $954.99 | $1,995.26 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $1,949.84 | Professional | None | $1,445.44 | $1,698.24 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $8,912.51 | Facility | None | $758.58 | $1,445.44 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,778.28 Typical High $6,025.60 | Professional | None | $954.99 | $1,778.28 | $6,025.60 |
Midlands Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,548.82 | $1,698.24 | $2,238.72 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $2,344.23 Typical High $3,019.95 | Facility | None | $954.99 | $2,344.23 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $1,380.38 Median $1,949.84 Typical High $2,570.40 | Professional | None | $1,380.38 | $1,949.84 | $2,570.40 |
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 $954.99 Median $1,584.89 Typical High $2,041.74 | Professional | None | $954.99 | $1,584.89 | $2,041.74 |
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 $371.54 Median $371.54 Typical High $630.96 | Professional | 52 · Reduced service | $371.54 | $371.54 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $251.19 | Professional | 53 · Discontinued | $147.91 | $147.91 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $954.99 | Professional | 54 · Surgery only | $562.34 | $562.34 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $190.55 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $125.89 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $891.25 |
Where Nebraska sits
The same service costs 8.3 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
$1,698
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.