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 $4,168.69 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,168.69 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,995.26 | Professional | None | $1,174.90 | $1,174.90 | $1,995.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $7,943.28 Median $10,715.19 Typical High $21,379.62 | Facility | None | $7,943.28 | $10,715.19 | $21,379.62 |
BCBS Nebraska Setting Professional Modifier None Typical Low $14,454.40 Median $15,488.17 Typical High $16,595.87 | Professional | None | $14,454.40 | $15,488.17 | $16,595.87 |
Cigna Setting Facility Modifier None Typical Low $12,589.25 Median $15,135.61 Typical High $18,197.01 | Facility | None | $12,589.25 | $15,135.61 | $18,197.01 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $3,019.95 | Professional | None | $2,290.87 | $2,754.23 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $3,715.35 Typical High $33,884.42 | Facility | None | $1,584.89 | $3,715.35 | $33,884.42 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,884.03 Typical High $9,332.54 | Professional | None | $1,548.82 | $2,884.03 | $9,332.54 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $3,801.89 | Professional | None | $2,290.87 | $2,884.03 | $3,801.89 |
Midlands Setting Facility Modifier None Typical Low $12,589.25 Median $15,135.61 Typical High $22,387.21 | Facility | None | $12,589.25 | $15,135.61 | $22,387.21 |
Midlands Setting Professional Modifier None Typical Low $2,137.96 Median $2,884.03 Typical High $3,981.07 | Professional | None | $2,137.96 | $2,884.03 | $3,981.07 |
Oscar Health Setting Professional Modifier None Typical Low $1,202.26 Median $2,238.72 Typical High $2,818.38 | Professional | None | $1,202.26 | $2,238.72 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $9,772.37 | Facility | None | $1,698.24 | $3,801.89 | $9,772.37 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $3,467.37 | Professional | None | $1,548.82 | $2,570.40 | $3,467.37 |
4 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 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $1,479.11 | Professional | 54 · Surgery only | $870.96 | $870.96 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $295.12 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $199.53 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $1,380.38 |
Where Nebraska sits
The same service costs 8.1 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· 4th of 51
$2,884
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.