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 $489.78 Median $489.78 Typical High $1,318.26 | Professional | None | $489.78 | $489.78 | $1,318.26 |
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 |
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 $2,454.71 Typical High $4,073.80 | Facility | None | $954.99 | $2,454.71 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,258.93 | Professional | None | $977.24 | $1,148.15 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $3,630.78 Typical High $8,912.51 | Facility | None | $1,445.44 | $3,630.78 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,202.26 Typical High $6,309.57 | Professional | None | $645.65 | $1,202.26 | $6,309.57 |
Midlands Setting Professional Modifier None Typical Low $977.24 Median $1,202.26 Typical High $1,584.89 | Professional | None | $977.24 | $1,202.26 | $1,584.89 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $2,630.27 Typical High $4,265.80 | Facility | None | $954.99 | $2,630.27 | $4,265.80 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $1,202.26 Typical High $1,621.81 | Professional | None | $891.25 | $1,202.26 | $1,621.81 |
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 $645.65 Median $1,071.52 Typical High $1,445.44 | Professional | None | $645.65 | $1,071.52 | $1,445.44 |
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 $239.88 Median $239.88 Typical High $416.87 | Professional | 52 · Reduced service | $239.88 | $239.88 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $165.96 | Professional | 53 · Discontinued | $97.72 | $97.72 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $616.60 | Professional | 54 · Surgery only | $363.08 | $363.08 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $123.03 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $48.98 Typical High $83.18 | Professional | 56 · Pre-op care only | $48.98 | $48.98 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $338.84 | $338.84 | $575.44 |
Where Nebraska sits
The same service costs 6.6 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· 4th of 51
$1,230
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.