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 $245.47 Median $3,801.89 Typical High $11,481.54 | Facility | None | $245.47 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $245.47 Typical High $1,071.52 | Professional | None | $114.82 | $245.47 | $1,071.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,630.78 Median $4,786.30 Typical High $9,772.37 | Facility | None | $3,630.78 | $4,786.30 | $9,772.37 |
BCBS Nebraska Setting Professional Modifier None Typical Low $100.00 Median $177.83 Typical High $245.47 | Professional | None | $100.00 | $177.83 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $346.74 Typical High $380.19 | Facility | None | $281.84 | $346.74 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $512.86 Typical High $630.96 | Professional | None | $269.15 | $512.86 | $630.96 |
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 $331.13 Median $588.84 Typical High $1,995.26 | Professional | None | $331.13 | $588.84 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $537.03 Typical High $660.69 | Professional | None | $269.15 | $537.03 | $660.69 |
Midlands Setting Facility Modifier None Typical Low $281.84 Median $346.74 Typical High $398.11 | Facility | None | $281.84 | $346.74 | $398.11 |
Midlands Setting Professional Modifier None Typical Low $234.42 Median $501.19 Typical High $588.84 | Professional | None | $234.42 | $501.19 | $588.84 |
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 $165.96 Median $331.13 Typical High $645.65 | Professional | None | $165.96 | $331.13 | $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 $57.54 Median $57.54 Typical High $123.03 | Professional | 52 · Reduced service | $57.54 | $57.54 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $48.98 | Professional | 53 · Discontinued | $22.91 | $22.91 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $87.10 Typical High $186.21 | Professional | 54 · Surgery only | $87.10 | $87.10 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $37.15 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $24.55 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $24.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $81.28 Median $81.28 Typical High $173.78 | Professional | 78 · Unplanned return to OR | $81.28 | $81.28 | $173.78 |
Where Nebraska sits
The same service costs 3.9 times more in Alaska than in Kentucky. 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· 32nd of 51
$229
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.