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 $407.38 Median $3,801.89 Typical High $11,481.54 | Facility | None | $407.38 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $691.83 | Professional | None | $371.54 | $407.38 | $691.83 |
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 $331.13 Median $588.84 Typical High $812.83 | Professional | None | $331.13 | $588.84 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $1,148.15 Typical High $1,513.56 | Facility | None | $234.42 | $1,148.15 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,071.52 | Professional | None | $758.58 | $891.25 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $371.54 Typical High $4,365.16 | Facility | None | $114.82 | $371.54 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $1,047.13 Typical High $3,311.31 | Professional | None | $524.81 | $1,047.13 | $3,311.31 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $1,174.90 | Professional | None | $891.25 | $977.24 | $1,174.90 |
Midlands Setting Facility Modifier None Typical Low $223.87 Median $1,258.93 Typical High $1,621.81 | Facility | None | $223.87 | $1,258.93 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $1,174.90 Typical High $1,348.96 | Professional | None | $691.83 | $1,174.90 | $1,348.96 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,995.26 | Facility | None | $104.71 | $251.19 | $1,995.26 |
United Setting Professional Modifier None Typical Low $512.86 Median $831.76 Typical High $1,071.52 | Professional | None | $512.86 | $831.76 | $1,071.52 |
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 $186.21 Median $204.17 Typical High $316.23 | Professional | 52 · Reduced service | $186.21 | $204.17 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $81.28 Typical High $125.89 | Professional | 53 · Discontinued | $74.13 | $81.28 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $309.03 Typical High $467.74 | Professional | 54 · Surgery only | $281.84 | $309.03 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $61.66 Typical High $95.50 | Professional | 55 · Aftercare only | $56.23 | $61.66 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $40.74 Typical High $63.10 | Professional | 56 · Pre-op care only | $37.15 | $40.74 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $288.40 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $263.03 | $288.40 | $436.52 |
Where Nebraska sits
The same service costs 5.4 times more in Alaska than in Utah. 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· 11th of 51
$692
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.