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 $302.00 Median $3,801.89 Typical High $11,481.54 | Facility | None | $302.00 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $501.19 Typical High $724.44 | Professional | None | $275.42 | $501.19 | $724.44 |
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 $234.42 Median $407.38 Typical High $549.54 | Professional | None | $234.42 | $407.38 | $549.54 |
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 $549.54 Median $645.65 Typical High $776.25 | Professional | None | $549.54 | $645.65 | $776.25 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $288.40 Typical High $1,995.26 | Facility | None | $114.82 | $288.40 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $758.58 Typical High $2,398.83 | Professional | None | $380.19 | $758.58 | $2,398.83 |
Midlands Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $870.96 | Professional | None | $645.65 | $707.95 | $870.96 |
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 $512.86 Median $851.14 Typical High $977.24 | Professional | None | $512.86 | $851.14 | $977.24 |
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 $371.54 Median $616.60 Typical High $776.25 | Professional | None | $371.54 | $616.60 | $776.25 |
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 $138.04 Median $147.91 Typical High $229.09 | Professional | 52 · Reduced service | $138.04 | $147.91 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $60.26 Typical High $91.20 | Professional | 53 · Discontinued | $54.95 | $60.26 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $223.87 Typical High $346.74 | Professional | 54 · Surgery only | $204.17 | $223.87 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $44.67 Typical High $69.18 | Professional | 55 · Aftercare only | $40.74 | $44.67 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $30.20 Typical High $45.71 | Professional | 56 · Pre-op care only | $27.54 | $30.20 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $208.93 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $190.55 | $208.93 | $323.59 |
Where Nebraska sits
The same service costs 5.5 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
$490
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.