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 $660.69 Median $660.69 Typical High $1,479.11 | Professional | None | $660.69 | $660.69 | $1,479.11 |
BCBS Nebraska Setting Facility Modifier None Typical Low $7,079.46 Median $9,332.54 Typical High $19,054.61 | Facility | None | $7,079.46 | $9,332.54 | $19,054.61 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $3,630.78 Typical High $3,890.45 | Facility | None | $3,162.28 | $3,630.78 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $1,737.80 | Professional | None | $1,318.26 | $1,445.44 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $3,090.30 Typical High $5,888.44 | Facility | None | $1,258.93 | $3,090.30 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,621.81 Typical High $5,370.32 | Professional | None | $870.96 | $1,621.81 | $5,370.32 |
Midlands Setting Professional Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $2,137.96 | Professional | None | $1,318.26 | $1,621.81 | $2,137.96 |
Midlands Setting Facility Modifier None Typical Low $3,162.28 Median $3,630.78 Typical High $5,370.32 | Facility | None | $3,162.28 | $3,630.78 | $5,370.32 |
Midlands Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,238.72 | Professional | None | $1,230.27 | $1,659.59 | $2,238.72 |
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 $870.96 Median $1,380.38 Typical High $1,737.80 | Professional | None | $870.96 | $1,380.38 | $1,737.80 |
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 $331.13 Median $331.13 Typical High $562.34 | Professional | 52 · Reduced service | $331.13 | $331.13 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $223.87 | Professional | 53 · Discontinued | $131.83 | $131.83 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $851.14 | Professional | 54 · Surgery only | $489.78 | $489.78 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $169.82 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $112.20 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $794.33 |
Where Nebraska sits
The same service costs 7.6 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
$1,622
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.