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 $5,011.87 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,011.87 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $1,122.02 | Professional | None | $549.54 | $549.54 | $1,122.02 |
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 $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 $1,288.25 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,288.25 | $2,398.83 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,096.48 | $1,288.25 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,137.96 Typical High $8,912.51 | Facility | None | $1,122.02 | $2,137.96 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $1,348.96 Typical High $9,332.54 | Professional | None | $707.95 | $1,348.96 | $9,332.54 |
Midlands Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,737.80 | Professional | None | $1,096.48 | $1,318.26 | $1,737.80 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $2,454.71 Typical High $3,162.28 | Facility | None | $1,288.25 | $2,454.71 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $1,819.70 | Professional | None | $1,023.29 | $1,380.38 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $6,309.57 | Facility | None | $1,288.25 | $2,238.72 | $6,309.57 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,174.90 Typical High $1,584.89 | Professional | None | $707.95 | $1,174.90 | $1,584.89 |
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 $275.42 Median $275.42 Typical High $467.74 | Professional | 52 · Reduced service | $275.42 | $275.42 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $186.21 | Professional | 53 · Discontinued | $109.65 | $109.65 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $691.83 | Professional | 54 · Surgery only | $407.38 | $407.38 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $138.04 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $93.33 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $645.65 |
Where Nebraska sits
The same service costs 14.1 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· 4th of 51
$1,380
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.