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 $7,244.36 Typical High $12,589.25 | Facility | None | $302.00 | $7,244.36 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $660.69 | Professional | None | $263.03 | $302.00 | $660.69 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,786.30 Median $6,456.54 Typical High $12,882.50 | Facility | None | $4,786.30 | $6,456.54 | $12,882.50 |
BCBS Nebraska Setting Professional Modifier None Typical Low $234.42 Median $416.87 Typical High $575.44 | Professional | None | $234.42 | $416.87 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,819.70 | Facility | None | $1,071.52 | $1,318.26 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $776.25 | Professional | None | $562.34 | $645.65 | $776.25 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,819.70 Typical High $4,786.30 | Facility | None | $562.34 | $1,819.70 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $758.58 Typical High $3,090.30 | Professional | None | $398.11 | $758.58 | $3,090.30 |
Midlands Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $870.96 | Professional | None | $645.65 | $741.31 | $870.96 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $2,089.30 | Facility | None | $1,096.48 | $1,412.54 | $2,089.30 |
Midlands Setting Professional Modifier None Typical Low $489.78 Median $812.83 Typical High $954.99 | Professional | None | $489.78 | $812.83 | $954.99 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,174.90 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $380.19 Median $630.96 Typical High $794.33 | Professional | None | $380.19 | $630.96 | $794.33 |
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 $131.83 Median $147.91 Typical High $223.87 | Professional | 52 · Reduced service | $131.83 | $147.91 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $60.26 Typical High $89.13 | Professional | 53 · Discontinued | $53.70 | $60.26 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $223.87 Typical High $338.84 | Professional | 54 · Surgery only | $199.53 | $223.87 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $44.67 Typical High $67.61 | Professional | 55 · Aftercare only | $39.81 | $44.67 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $30.20 Typical High $44.67 | Professional | 56 · Pre-op care only | $26.30 | $30.20 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $208.93 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $186.21 | $208.93 | $316.23 |
Where Nebraska sits
The same service costs 6.8 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· 10th of 51
$525
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.