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 $1,548.82 Median $4,365.16 Typical High $11,481.54 | Facility | None | $1,548.82 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $954.99 | Professional | None | $380.19 | $380.19 | $954.99 |
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 $2,290.87 Median $2,454.71 Typical High $2,570.40 | Professional | None | $2,290.87 | $2,454.71 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,949.84 Typical High $2,884.03 | Facility | None | $645.65 | $1,949.84 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $1,000.00 | Professional | None | $776.25 | $912.01 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $812.83 Typical High $8,912.51 | Facility | None | $478.63 | $812.83 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $912.01 Typical High $3,090.30 | Professional | None | $489.78 | $912.01 | $3,090.30 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $912.01 Typical High $1,202.26 | Professional | None | $794.33 | $912.01 | $1,202.26 |
Midlands Setting Facility Modifier None Typical Low $691.83 Median $2,454.71 Typical High $3,019.95 | Facility | None | $691.83 | $2,454.71 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $707.95 Median $977.24 Typical High $1,288.25 | Professional | None | $707.95 | $977.24 | $1,288.25 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $4,073.80 | Facility | None | $467.74 | $851.14 | $4,073.80 |
United Setting Professional Modifier None Typical Low $489.78 Median $812.83 Typical High $1,096.48 | Professional | None | $489.78 | $812.83 | $1,096.48 |
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 $190.55 Median $190.55 Typical High $323.59 | Professional | 52 · Reduced service | $190.55 | $190.55 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $128.82 | Professional | 53 · Discontinued | $77.62 | $77.62 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $489.78 | Professional | 54 · Surgery only | $288.40 | $288.40 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $97.72 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $64.57 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $457.09 |
Where Nebraska sits
The same service costs 8.1 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
$912
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.