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 $338.84 Median $4,466.84 Typical High $11,481.54 | Facility | None | $338.84 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $562.34 | Professional | None | $223.87 | $338.84 | $562.34 |
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 $194.98 Median $346.74 Typical High $478.63 | Professional | None | $194.98 | $346.74 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $2,884.03 | Facility | None | $954.99 | $1,995.26 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $724.44 Typical High $891.25 | Professional | None | $467.74 | $724.44 | $891.25 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,819.70 Typical High $7,943.28 | Facility | None | $645.65 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $870.96 Typical High $2,754.23 | Professional | None | $467.74 | $870.96 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $891.25 | Professional | None | $549.54 | $741.31 | $891.25 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $2,344.23 Typical High $3,019.95 | Facility | None | $954.99 | $2,344.23 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $416.87 Median $741.31 Typical High $1,122.02 | Professional | None | $416.87 | $741.31 | $1,122.02 |
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 $316.23 Median $537.03 Typical High $933.25 | Professional | None | $316.23 | $537.03 | $933.25 |
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 $112.20 Median $169.82 Typical High $186.21 | Professional | 52 · Reduced service | $112.20 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $67.61 Typical High $74.13 | Professional | 53 · Discontinued | $44.67 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $251.19 Typical High $281.84 | Professional | 54 · Surgery only | $165.96 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $51.29 Typical High $56.23 | Professional | 55 · Aftercare only | $33.11 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $33.88 Typical High $37.15 | Professional | 56 · Pre-op care only | $22.39 | $33.88 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $234.42 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $154.88 | $234.42 | $263.03 |
Where Nebraska sits
The same service costs 5.5 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· 16th of 51
$468
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.