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 $141.25 Median $3,801.89 Typical High $11,481.54 | Facility | None | $141.25 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $239.88 | Professional | None | $120.23 | $141.25 | $239.88 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $6,309.57 | Facility | None | $2,344.23 | $3,162.28 | $6,309.57 |
BCBS Nebraska Setting Professional Modifier None Typical Low $104.71 Median $186.21 Typical High $239.88 | Professional | None | $104.71 | $186.21 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $251.19 Typical High $691.83 | Facility | None | $181.97 | $251.19 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $371.54 | Professional | None | $257.04 | $309.03 | $371.54 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $251.19 Typical High $1,995.26 | Facility | None | $114.82 | $251.19 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $363.08 Typical High $1,148.15 | Professional | None | $190.55 | $363.08 | $1,148.15 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $363.08 Typical High $398.11 | Professional | None | $302.00 | $363.08 | $398.11 |
Midlands Setting Facility Modifier None Typical Low $194.98 Median $251.19 Typical High $645.65 | Facility | None | $194.98 | $251.19 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $389.05 Typical High $467.74 | Professional | None | $218.78 | $389.05 | $467.74 |
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 $173.78 Median $281.84 Typical High $380.19 | Professional | None | $173.78 | $281.84 | $380.19 |
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 $60.26 Median $70.79 Typical High $100.00 | Professional | 52 · Reduced service | $60.26 | $70.79 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $28.84 Typical High $39.81 | Professional | 53 · Discontinued | $23.99 | $28.84 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $107.15 Typical High $151.36 | Professional | 54 · Surgery only | $89.13 | $107.15 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $21.38 Typical High $30.20 | Professional | 55 · Aftercare only | $17.78 | $21.38 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $14.13 Typical High $19.95 | Professional | 56 · Pre-op care only | $12.02 | $14.13 | $19.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $83.18 Median $100.00 Typical High $141.25 | Professional | 78 · Unplanned return to OR | $83.18 | $100.00 | $141.25 |
Where Nebraska sits
The same service costs 3.8 times more in Alaska than in Delaware. 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
$224
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.