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 $173.78 Median $3,801.89 Typical High $11,481.54 | Facility | None | $173.78 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $288.40 | Professional | None | $144.54 | $173.78 | $288.40 |
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 $125.89 Median $213.80 Typical High $288.40 | Professional | None | $125.89 | $213.80 | $288.40 |
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 $295.12 Median $354.81 Typical High $457.09 | Professional | None | $295.12 | $354.81 | $457.09 |
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 $218.78 Median $436.52 Typical High $1,380.38 | Professional | None | $218.78 | $436.52 | $1,380.38 |
Midlands Setting Professional Modifier None Typical Low $346.74 Median $416.87 Typical High $489.78 | Professional | None | $346.74 | $416.87 | $489.78 |
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 $269.15 Median $467.74 Typical High $549.54 | Professional | None | $269.15 | $467.74 | $549.54 |
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 $194.98 Median $323.59 Typical High $436.52 | Professional | None | $194.98 | $323.59 | $436.52 |
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 $72.44 Median $87.10 Typical High $120.23 | Professional | 52 · Reduced service | $72.44 | $87.10 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $34.67 Typical High $47.86 | Professional | 53 · Discontinued | $28.84 | $34.67 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $128.82 Typical High $181.97 | Professional | 54 · Surgery only | $109.65 | $128.82 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $25.70 Typical High $36.31 | Professional | 55 · Aftercare only | $21.88 | $25.70 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $17.38 Typical High $23.99 | Professional | 56 · Pre-op care only | $14.45 | $17.38 | $23.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $120.23 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $102.33 | $120.23 | $169.82 |
Where Nebraska sits
The same service costs 4.6 times more in Alaska than in Florida. 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· 12th of 51
$257
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.