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 $288.40 Median $7,585.78 Typical High $12,589.25 | Facility | None | $288.40 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $489.78 Typical High $724.44 | Professional | None | $275.42 | $489.78 | $724.44 |
Ambetter Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
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 $239.88 Median $416.87 Typical High $549.54 | Professional | None | $239.88 | $416.87 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $204.17 Typical High $245.47 | Facility | None | $162.18 | $204.17 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $758.58 | Professional | None | $537.03 | $630.96 | $758.58 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $269.15 Typical High $1,778.28 | Facility | None | $102.33 | $269.15 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $741.31 Typical High $2,344.23 | Professional | None | $363.08 | $741.31 | $2,344.23 |
Midlands Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $851.14 | Professional | None | $630.96 | $660.69 | $851.14 |
Midlands Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $257.04 | Facility | None | $162.18 | $213.80 | $257.04 |
Midlands Setting Professional Modifier None Typical Low $512.86 Median $831.76 Typical High $954.99 | Professional | None | $512.86 | $831.76 | $954.99 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $363.08 Median $588.84 Typical High $758.58 | Professional | None | $363.08 | $588.84 | $758.58 |
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 $138.04 Median $144.54 Typical High $234.42 | Professional | 52 · Reduced service | $138.04 | $144.54 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $57.54 Typical High $93.33 | Professional | 53 · Discontinued | $54.95 | $57.54 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $218.78 Typical High $346.74 | Professional | 54 · Surgery only | $208.93 | $218.78 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $43.65 Typical High $69.18 | Professional | 55 · Aftercare only | $41.69 | $43.65 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $28.84 Typical High $46.77 | Professional | 56 · Pre-op care only | $27.54 | $28.84 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $204.17 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $194.98 | $204.17 | $323.59 |
Where Nebraska sits
The same service costs 5.6 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· 12th of 51
$468
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.