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 $309.03 Median $3,548.13 Typical High $11,481.54 | Facility | None | $309.03 | $3,548.13 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $407.38 Typical High $812.83 | Professional | None | $288.40 | $407.38 | $812.83 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,388.44 Median $4,570.88 Typical High $9,120.11 | Facility | None | $3,388.44 | $4,570.88 | $9,120.11 |
BCBS Nebraska Setting Professional Modifier None Typical Low $245.47 Median $426.58 Typical High $575.44 | Professional | None | $245.47 | $426.58 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $223.87 Typical High $645.65 | Facility | None | $162.18 | $223.87 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $812.83 | Professional | None | $575.44 | $676.08 | $812.83 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $281.84 Typical High $1,995.26 | Facility | None | $114.82 | $281.84 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $794.33 Typical High $2,511.89 | Professional | None | $389.05 | $794.33 | $2,511.89 |
Midlands Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $912.01 | Professional | None | $676.08 | $724.44 | $912.01 |
Midlands Setting Facility Modifier None Typical Low $173.78 Median $223.87 Typical High $645.65 | Facility | None | $173.78 | $223.87 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $537.03 Median $912.01 Typical High $1,023.29 | Professional | None | $537.03 | $912.01 | $1,023.29 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $812.83 | Professional | None | $389.05 | $645.65 | $812.83 |
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 $144.54 Median $154.88 Typical High $239.88 | Professional | 52 · Reduced service | $144.54 | $154.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $61.66 Typical High $97.72 | Professional | 53 · Discontinued | $57.54 | $61.66 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $234.42 Typical High $363.08 | Professional | 54 · Surgery only | $213.80 | $234.42 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $46.77 Typical High $72.44 | Professional | 55 · Aftercare only | $42.66 | $46.77 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.90 Typical High $47.86 | Professional | 56 · Pre-op care only | $28.84 | $30.90 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $218.78 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $199.53 | $218.78 | $338.84 |
Where Nebraska sits
The same service costs 5.8 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· 11th of 51
$501
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.