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 $478.63 Median $7,585.78 Typical High $19,952.62 | Facility | None | $478.63 | $7,585.78 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $478.63 Typical High $1,071.52 | Professional | None | $346.74 | $478.63 | $1,071.52 |
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 $302.00 Median $537.03 Typical High $741.31 | Professional | None | $302.00 | $537.03 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,548.82 | Facility | None | $812.83 | $1,122.02 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,258.93 | Professional | None | $741.31 | $1,023.29 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $851.14 Typical High $3,981.07 | Facility | None | $478.63 | $851.14 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,258.93 Typical High $3,890.45 | Professional | None | $660.69 | $1,258.93 | $3,890.45 |
Midlands Setting Professional Modifier None Typical Low $870.96 Median $1,148.15 Typical High $1,288.25 | Professional | None | $870.96 | $1,148.15 | $1,288.25 |
Midlands Setting Facility Modifier None Typical Low $794.33 Median $1,202.26 Typical High $1,380.38 | Facility | None | $794.33 | $1,202.26 | $1,380.38 |
Midlands Setting Professional Modifier None Typical Low $645.65 Median $1,148.15 Typical High $1,621.81 | Professional | None | $645.65 | $1,148.15 | $1,621.81 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,818.38 | Facility | None | $467.74 | $851.14 | $2,818.38 |
United Setting Professional Modifier None Typical Low $501.19 Median $851.14 Typical High $1,318.26 | Professional | None | $501.19 | $851.14 | $1,318.26 |
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 $173.78 Median $239.88 Typical High $288.40 | Professional | 52 · Reduced service | $173.78 | $239.88 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $95.50 Typical High $114.82 | Professional | 53 · Discontinued | $69.18 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $363.08 Typical High $436.52 | Professional | 54 · Surgery only | $257.04 | $363.08 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $72.44 Typical High $87.10 | Professional | 55 · Aftercare only | $51.29 | $72.44 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $47.86 Typical High $57.54 | Professional | 56 · Pre-op care only | $34.67 | $47.86 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $338.84 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $239.88 | $338.84 | $407.38 |
Where Nebraska sits
The same service costs 4.8 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· 11th of 51
$692
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.