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 $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,570.40 | Professional | None | $1,513.56 | $1,513.56 | $2,570.40 |
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 $5,011.87 Median $5,370.32 Typical High $5,754.40 | Professional | None | $5,011.87 | $5,370.32 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $5,248.07 Median $6,309.57 Typical High $6,760.83 | Facility | None | $5,248.07 | $6,309.57 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $3,981.07 | Professional | None | $2,951.21 | $3,630.78 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $3,715.35 Typical High $19,952.62 | Facility | None | $1,584.89 | $3,715.35 | $19,952.62 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $3,801.89 Typical High $12,589.25 | Professional | None | $2,041.74 | $3,801.89 | $12,589.25 |
Midlands Setting Professional Modifier None Typical Low $2,951.21 Median $3,801.89 Typical High $5,011.87 | Professional | None | $2,951.21 | $3,801.89 | $5,011.87 |
Midlands Setting Facility Modifier None Typical Low $5,248.07 Median $6,165.95 Typical High $9,549.93 | Facility | None | $5,248.07 | $6,165.95 | $9,549.93 |
Midlands Setting Professional Modifier None Typical Low $2,818.38 Median $3,630.78 Typical High $5,128.61 | Professional | None | $2,818.38 | $3,630.78 | $5,128.61 |
Oscar Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,884.03 Typical High $3,715.35 | Professional | None | $1,548.82 | $2,884.03 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $8,912.51 | Facility | None | $1,698.24 | $3,801.89 | $8,912.51 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $3,311.31 Typical High $4,570.88 | Professional | None | $2,041.74 | $3,311.31 | $4,570.88 |
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 $1,122.02 Median $1,122.02 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $389.05 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $257.04 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,819.70 |
Where Nebraska sits
The same service costs 7.8 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· 4th of 51
$3,802
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.