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 $616.60 Median $7,585.78 Typical High $19,952.62 | Facility | None | $616.60 | $7,585.78 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $1,023.29 | Professional | None | $457.09 | $616.60 | $1,023.29 |
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 $407.38 Median $724.44 Typical High $1,000.00 | Professional | None | $407.38 | $724.44 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,995.26 Typical High $2,884.03 | Facility | None | $1,288.25 | $1,995.26 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $1,584.89 | Professional | None | $1,000.00 | $1,318.26 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $1,819.70 Typical High $7,943.28 | Facility | None | $933.25 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,584.89 Typical High $4,897.79 | Professional | None | $831.76 | $1,584.89 | $4,897.79 |
Midlands Setting Professional Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $1,621.81 | Professional | None | $1,174.90 | $1,513.56 | $1,621.81 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $2,344.23 Typical High $3,019.95 | Facility | None | $1,288.25 | $2,344.23 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $851.14 Median $1,548.82 Typical High $1,995.26 | Professional | None | $851.14 | $1,548.82 | $1,995.26 |
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 $660.69 Median $1,122.02 Typical High $1,698.24 | Professional | None | $660.69 | $1,122.02 | $1,698.24 |
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 $229.09 Median $309.03 Typical High $389.05 | Professional | 52 · Reduced service | $229.09 | $309.03 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $123.03 Typical High $154.88 | Professional | 53 · Discontinued | $91.20 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $457.09 Typical High $575.44 | Professional | 54 · Surgery only | $346.74 | $457.09 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $91.20 Typical High $117.49 | Professional | 55 · Aftercare only | $69.18 | $91.20 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $61.66 Typical High $77.62 | Professional | 56 · Pre-op care only | $45.71 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $426.58 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $323.59 | $426.58 | $537.03 |
Where Nebraska sits
The same service costs 5.8 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· 13th 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.