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 $7,079.46 Median $9,549.93 Typical High $19,054.61 | Facility | None | $7,079.46 | $9,549.93 | $19,054.61 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,513.56 | Professional | None | $1,348.96 | $1,412.54 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,445.44 Typical High $1,659.59 | Facility | None | $954.99 | $1,445.44 | $1,659.59 |
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 $707.95 Median $1,380.38 Typical High $5,248.07 | Facility | None | $707.95 | $1,380.38 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,174.90 Typical High $4,466.84 | Professional | None | $630.96 | $1,174.90 | $4,466.84 |
Midlands Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,548.82 | Professional | None | $977.24 | $1,174.90 | $1,548.82 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,479.11 Typical High $1,737.80 | Facility | None | $954.99 | $1,479.11 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $1,230.27 Typical High $1,621.81 | Professional | None | $891.25 | $1,230.27 | $1,621.81 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,311.31 | Facility | None | $707.95 | $1,445.44 | $3,311.31 |
United Setting Professional Modifier None Typical Low $630.96 Median $1,047.13 Typical High $1,412.54 | Professional | None | $630.96 | $1,047.13 | $1,412.54 |
2 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 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 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 8.1 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· 5th of 51
$1,175
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.