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 $251.19 Median $3,801.89 Typical High $11,481.54 | Facility | None | $251.19 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $251.19 Typical High $416.87 | Professional | None | $162.18 | $251.19 | $416.87 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,677.35 Median $6,309.57 Typical High $12,589.25 | Facility | None | $4,677.35 | $6,309.57 | $12,589.25 |
BCBS Nebraska Setting Professional Modifier None Typical Low $141.25 Median $257.04 Typical High $354.81 | Professional | None | $141.25 | $257.04 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,023.29 Typical High $1,348.96 | Facility | None | $645.65 | $1,023.29 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $537.03 Typical High $645.65 | Professional | None | $346.74 | $537.03 | $645.65 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $741.31 Typical High $3,981.07 | Facility | None | $398.11 | $741.31 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $660.69 Typical High $2,041.74 | Professional | None | $338.84 | $660.69 | $2,041.74 |
Midlands Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $676.08 | Professional | None | $407.38 | $549.54 | $676.08 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $1,047.13 Typical High $1,380.38 | Facility | None | $645.65 | $1,047.13 | $1,380.38 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $537.03 Typical High $851.14 | Professional | None | $302.00 | $537.03 | $851.14 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,818.38 | Facility | None | $467.74 | $851.14 | $2,818.38 |
United Setting Professional Modifier None Typical Low $234.42 Median $398.11 Typical High $676.08 | Professional | None | $234.42 | $398.11 | $676.08 |
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 $81.28 Median $125.89 Typical High $138.04 | Professional | 52 · Reduced service | $81.28 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $50.12 Typical High $54.95 | Professional | 53 · Discontinued | $32.36 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $186.21 Typical High $204.17 | Professional | 54 · Surgery only | $123.03 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $37.15 Typical High $40.74 | Professional | 55 · Aftercare only | $24.55 | $37.15 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $25.12 Typical High $27.54 | Professional | 56 · Pre-op care only | $16.22 | $25.12 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $173.78 Typical High $190.55 | Professional | 78 · Unplanned return to OR | $114.82 | $173.78 | $190.55 |
Where Nebraska sits
The same service costs 4.1 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· 13th of 51
$339
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.