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 $1,071.52 Median $1,071.52 Typical High $1,819.70 | Professional | None | $1,071.52 | $1,071.52 | $1,819.70 |
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 $851.14 Median $1,318.26 Typical High $1,778.28 | Professional | None | $851.14 | $1,318.26 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $7,079.46 Median $8,128.31 Typical High $8,709.64 | Facility | None | $7,079.46 | $8,128.31 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $2,818.38 | Professional | None | $2,041.74 | $2,570.40 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,454.71 Typical High $6,918.31 | Facility | None | $1,258.93 | $2,454.71 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,754.23 Typical High $9,549.93 | Professional | None | $1,445.44 | $2,754.23 | $9,549.93 |
Midlands Setting Professional Modifier None Typical Low $2,041.74 Median $2,691.53 Typical High $3,548.13 | Professional | None | $2,041.74 | $2,691.53 | $3,548.13 |
Midlands Setting Facility Modifier None Typical Low $7,079.46 Median $8,128.31 Typical High $12,022.64 | Facility | None | $7,079.46 | $8,128.31 | $12,022.64 |
Midlands Setting Professional Modifier None Typical Low $1,995.26 Median $2,570.40 Typical High $3,715.35 | Professional | None | $1,995.26 | $2,570.40 | $3,715.35 |
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 $1,445.44 Median $2,398.83 Typical High $3,235.94 | Professional | None | $1,445.44 | $2,398.83 | $3,235.94 |
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 $537.03 Median $537.03 Typical High $912.01 | Professional | 52 · Reduced service | $537.03 | $537.03 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $363.08 | Professional | 53 · Discontinued | $213.80 | $213.80 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $1,380.38 | Professional | 54 · Surgery only | $812.83 | $812.83 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $275.42 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $181.97 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $1,288.25 |
Where Nebraska sits
The same service costs 8.7 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
$2,570
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.