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 $245.47 Median $245.47 Typical High $1,479.11 | Professional | None | $245.47 | $245.47 | $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 |
BCBS Nebraska Setting Professional Modifier None Typical Low $4,897.79 Median $7,585.78 Typical High $10,000.00 | Professional | None | $4,897.79 | $7,585.78 | $10,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,380.38 Typical High $1,698.24 | Facility | None | $1,288.25 | $1,380.38 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $630.96 | Professional | None | $489.78 | $588.84 | $630.96 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $251.19 Typical High $2,630.27 | Facility | None | $107.15 | $251.19 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $630.96 Typical High $3,467.37 | Professional | None | $338.84 | $630.96 | $3,467.37 |
Midlands Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $831.76 | Professional | None | $457.09 | $630.96 | $831.76 |
Midlands Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,630.27 | Facility | None | $1,380.38 | $1,380.38 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $851.14 | Professional | None | $446.68 | $575.44 | $851.14 |
United Setting Facility Modifier None Typical Low $104.71 Median $234.42 Typical High $1,288.25 | Facility | None | $104.71 | $234.42 | $1,288.25 |
United Setting Professional Modifier None Typical Low $338.84 Median $549.54 Typical High $758.58 | Professional | None | $338.84 | $549.54 | $758.58 |
5 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 $123.03 Median $123.03 Typical High $208.93 | Professional | 52 · Reduced service | $123.03 | $123.03 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $83.18 | Professional | 53 · Discontinued | $48.98 | $48.98 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $181.97 Typical High $316.23 | Professional | 54 · Surgery only | $181.97 | $181.97 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $63.10 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $41.69 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $41.69 |
Where Nebraska sits
The same service costs 4.8 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
$617
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.