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 $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,380.38 | Professional | None | $691.83 | $691.83 | $1,380.38 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,511.38 Median $11,220.18 Typical High $22,908.68 | Facility | None | $8,511.38 | $11,220.18 | $22,908.68 |
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 $1,096.48 Median $1,995.26 Typical High $2,884.03 | Facility | None | $1,096.48 | $1,995.26 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,348.96 | $1,621.81 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $8,912.51 | Facility | None | $1,096.48 | $1,819.70 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,778.28 Typical High $5,495.41 | Professional | None | $933.25 | $1,778.28 | $5,495.41 |
Midlands Setting Professional Modifier None Typical Low $1,348.96 Median $1,778.28 Typical High $2,238.72 | Professional | None | $1,348.96 | $1,778.28 | $2,238.72 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $2,344.23 Typical High $3,019.95 | Facility | None | $1,096.48 | $2,344.23 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $2,290.87 | Professional | None | $1,258.93 | $1,698.24 | $2,290.87 |
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 $933.25 Median $1,548.82 Typical High $2,089.30 | Professional | None | $933.25 | $1,548.82 | $2,089.30 |
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 $338.84 Median $338.84 Typical High $575.44 | Professional | 52 · Reduced service | $338.84 | $338.84 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $229.09 | Professional | 53 · Discontinued | $138.04 | $138.04 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $870.96 | Professional | 54 · Surgery only | $512.86 | $512.86 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $173.78 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $114.82 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $812.83 |
Where Nebraska sits
The same service costs 6.6 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· 3rd of 51
$1,778
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.