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 $251.19 Median $3,801.89 Typical High $11,481.54 | Facility | None | $251.19 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $416.87 Typical High $645.65 | Professional | None | $218.78 | $416.87 | $645.65 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,388.44 Median $4,570.88 Typical High $9,120.11 | Facility | None | $3,388.44 | $4,570.88 | $9,120.11 |
BCBS Nebraska Setting Professional Modifier None Typical Low $190.55 Median $331.13 Typical High $436.52 | Professional | None | $190.55 | $331.13 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $204.17 Typical High $245.47 | Facility | None | $162.18 | $204.17 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $645.65 | Professional | None | $446.68 | $524.81 | $645.65 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $251.19 Typical High $1,778.28 | Facility | None | $102.33 | $251.19 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $630.96 Typical High $1,995.26 | Professional | None | $316.23 | $630.96 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $707.95 | Professional | None | $524.81 | $588.84 | $707.95 |
Midlands Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $257.04 | Facility | None | $162.18 | $213.80 | $257.04 |
Midlands Setting Professional Modifier None Typical Low $407.38 Median $691.83 Typical High $794.33 | Professional | None | $407.38 | $691.83 | $794.33 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $302.00 Median $489.78 Typical High $645.65 | Professional | None | $302.00 | $489.78 | $645.65 |
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 $109.65 Median $123.03 Typical High $181.97 | Professional | 52 · Reduced service | $109.65 | $123.03 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $50.12 Typical High $74.13 | Professional | 53 · Discontinued | $43.65 | $50.12 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $186.21 Typical High $275.42 | Professional | 54 · Surgery only | $162.18 | $186.21 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $37.15 Typical High $54.95 | Professional | 55 · Aftercare only | $33.11 | $37.15 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $24.55 Typical High $37.15 | Professional | 56 · Pre-op care only | $21.88 | $24.55 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $173.78 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $151.36 | $173.78 | $257.04 |
Where Nebraska sits
The same service costs 5.1 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· 13th of 51
$389
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.