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 $1,659.59 Median $5,011.87 Typical High $11,481.54 | Facility | None | $1,659.59 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,318.26 | Professional | None | $537.03 | $537.03 | $1,318.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $7,079.46 Median $9,549.93 Typical High $19,054.61 | Facility | None | $7,079.46 | $9,549.93 | $19,054.61 |
BCBS Nebraska Setting Professional Modifier None Typical Low $2,884.03 Median $3,090.30 Typical High $3,235.94 | Professional | None | $2,884.03 | $3,090.30 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,511.89 Typical High $3,630.78 | Facility | None | $954.99 | $2,511.89 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,096.48 | $1,288.25 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,137.96 Typical High $11,481.54 | Facility | None | $1,122.02 | $2,137.96 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $1,348.96 Typical High $6,456.54 | Professional | None | $707.95 | $1,348.96 | $6,456.54 |
Midlands Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,737.80 | Professional | None | $1,096.48 | $1,318.26 | $1,737.80 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $2,691.53 Typical High $3,890.45 | Facility | None | $954.99 | $2,691.53 | $3,890.45 |
Midlands Setting Professional Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $1,819.70 | Professional | None | $1,000.00 | $1,380.38 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $6,309.57 | Facility | None | $1,288.25 | $2,238.72 | $6,309.57 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,174.90 Typical High $1,584.89 | Professional | None | $707.95 | $1,174.90 | $1,584.89 |
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 $269.15 Median $269.15 Typical High $457.09 | Professional | 52 · Reduced service | $269.15 | $269.15 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $186.21 | Professional | 53 · Discontinued | $109.65 | $109.65 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $691.83 | Professional | 54 · Surgery only | $407.38 | $407.38 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $138.04 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $91.20 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $645.65 |
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· 5th of 51
$1,349
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.