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 $616.60 Median $616.60 Typical High $1,479.11 | Professional | None | $616.60 | $616.60 | $1,479.11 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,317.64 Median $10,964.78 Typical High $22,387.21 | Facility | None | $8,317.64 | $10,964.78 | $22,387.21 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $3,019.95 | Facility | None | $2,454.71 | $2,884.03 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $1,584.89 | Professional | None | $1,202.26 | $1,412.54 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $3,090.30 Typical High $5,623.41 | Facility | None | $1,148.15 | $3,090.30 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,513.56 Typical High $5,011.87 | Professional | None | $812.83 | $1,513.56 | $5,011.87 |
Midlands Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,202.26 | $1,513.56 | $1,995.26 |
Midlands Setting Facility Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $4,265.80 | Facility | None | $2,454.71 | $2,884.03 | $4,265.80 |
Midlands Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $2,089.30 | Professional | None | $1,122.02 | $1,513.56 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $7,244.36 | Facility | None | $1,698.24 | $3,801.89 | $7,244.36 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,288.25 Typical High $1,621.81 | Professional | None | $812.83 | $1,288.25 | $1,621.81 |
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 $309.03 Median $309.03 Typical High $524.81 | Professional | 52 · Reduced service | $309.03 | $309.03 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $208.93 | Professional | 53 · Discontinued | $123.03 | $123.03 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $776.25 | Professional | 54 · Surgery only | $457.09 | $457.09 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $154.88 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $104.71 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $724.44 |
Where Nebraska sits
The same service costs 16.6 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· 4th of 51
$1,514
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.