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 $891.25 Median $891.25 Typical High $1,513.56 | Professional | None | $891.25 | $891.25 | $1,513.56 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,128.31 Median $10,715.19 Typical High $21,877.62 | Facility | None | $8,128.31 | $10,715.19 | $21,877.62 |
BCBS Nebraska Setting Professional Modifier None Typical Low $5,011.87 Median $5,370.32 Typical High $5,754.40 | Professional | None | $5,011.87 | $5,370.32 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $4,570.88 Typical High $6,606.93 | Facility | None | $1,288.25 | $4,570.88 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,089.30 Typical High $2,290.87 | Professional | None | $1,737.80 | $2,089.30 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $19,952.62 | Facility | None | $1,318.26 | $2,951.21 | $19,952.62 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $2,187.76 Typical High $7,079.46 | Professional | None | $1,174.90 | $2,187.76 | $7,079.46 |
Midlands Setting Professional Modifier None Typical Low $1,737.80 Median $2,187.76 Typical High $2,884.03 | Professional | None | $1,737.80 | $2,187.76 | $2,884.03 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $5,128.61 Typical High $7,244.36 | Facility | None | $1,288.25 | $5,128.61 | $7,244.36 |
Midlands Setting Professional Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $3,019.95 | Professional | None | $1,621.81 | $2,187.76 | $3,019.95 |
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 $1,174.90 Median $1,949.84 Typical High $2,630.27 | Professional | None | $1,174.90 | $1,949.84 | $2,630.27 |
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 $436.52 Median $436.52 Typical High $758.58 | Professional | 52 · Reduced service | $436.52 | $436.52 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $302.00 | Professional | 53 · Discontinued | $177.83 | $177.83 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $1,122.02 | Professional | 54 · Surgery only | $660.69 | $660.69 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $223.87 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $151.36 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $616.60 | $616.60 | $1,047.13 |
Where Nebraska sits
The same service costs 7.9 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
$2,188
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.