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 $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,445.44 | Professional | None | $831.76 | $831.76 | $1,445.44 |
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 $5,495.41 Median $5,754.40 Typical High $7,943.28 | Professional | None | $5,495.41 | $5,754.40 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,630.27 | Professional | None | $2,137.96 | $2,137.96 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,318.26 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $2,089.30 Typical High $6,760.83 | Professional | None | $1,096.48 | $2,089.30 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $2,754.23 | Professional | None | $1,659.59 | $2,089.30 | $2,754.23 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $5,495.41 Typical High $10,000.00 | Facility | None | $1,096.48 | $5,495.41 | $10,000.00 |
Midlands Setting Professional Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $2,818.38 | Professional | None | $1,548.82 | $2,089.30 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $8,912.51 | Facility | None | $1,380.38 | $3,019.95 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,096.48 | $1,819.70 | $2,511.89 |
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 $416.87 Median $416.87 Typical High $707.95 | Professional | 52 · Reduced service | $416.87 | $416.87 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $288.40 | Professional | 53 · Discontinued | $165.96 | $165.96 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $1,071.52 | Professional | 54 · Surgery only | $630.96 | $630.96 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $213.80 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $141.25 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $1,000.00 |
Where Nebraska sits
The same service costs 17.4 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
$2,138
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.