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 $223.87 Median $1,548.82 Typical High $10,964.78 | Facility | None | $223.87 | $1,548.82 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $1,071.52 | Professional | None | $104.71 | $173.78 | $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 $91.20 Median $162.18 Typical High $204.17 | Professional | None | $91.20 | $162.18 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $194.98 Typical High $275.42 | Facility | None | $154.88 | $194.98 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $446.68 | Professional | None | $239.88 | $354.81 | $446.68 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $239.88 Typical High $1,548.82 | Facility | None | $102.33 | $239.88 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $416.87 Typical High $1,380.38 | Professional | None | $239.88 | $416.87 | $1,380.38 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $371.54 Typical High $467.74 | Professional | None | $239.88 | $371.54 | $467.74 |
Midlands Setting Facility Modifier None Typical Low $158.49 Median $213.80 Typical High $309.03 | Facility | None | $158.49 | $213.80 | $309.03 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $354.81 Typical High $407.38 | Professional | None | $213.80 | $354.81 | $407.38 |
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 $147.91 Median $257.04 Typical High $446.68 | Professional | None | $147.91 | $257.04 | $446.68 |
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 $52.48 Median $52.48 Typical High $87.10 | Professional | 52 · Reduced service | $52.48 | $52.48 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $34.67 | Professional | 53 · Discontinued | $20.89 | $20.89 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $79.43 Typical High $128.82 | Professional | 54 · Surgery only | $79.43 | $79.43 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $25.70 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $17.38 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $17.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $74.13 Typical High $120.23 | Professional | 78 · Unplanned return to OR | $74.13 | $74.13 | $120.23 |
Where Nebraska sits
The same service costs 4.5 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· 25th of 51
$195
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.