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 $251.19 Median $3,801.89 Typical High $11,481.54 | Facility | None | $251.19 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $1,071.52 | Professional | None | $190.55 | $251.19 | $1,071.52 |
Ambetter Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
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 $165.96 Median $295.12 Typical High $407.38 | Professional | None | $165.96 | $295.12 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,380.38 | Facility | None | $645.65 | $1,000.00 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $724.44 | Professional | None | $457.09 | $549.54 | $724.44 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $1,122.02 Typical High $3,715.35 | Facility | None | $478.63 | $1,122.02 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $645.65 Typical High $1,995.26 | Professional | None | $398.11 | $645.65 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $724.44 | Professional | None | $457.09 | $616.60 | $724.44 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $1,513.56 | Facility | None | $645.65 | $1,071.52 | $1,513.56 |
Midlands Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $602.56 | Professional | None | $398.11 | $524.81 | $602.56 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $323.59 Median $512.86 Typical High $707.95 | Professional | None | $323.59 | $512.86 | $707.95 |
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 $95.50 Median $95.50 Typical High $125.89 | Professional | 52 · Reduced service | $95.50 | $95.50 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $50.12 | Professional | 53 · Discontinued | $38.02 | $38.02 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $141.25 Typical High $190.55 | Professional | 54 · Surgery only | $141.25 | $141.25 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $38.02 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.05 Typical High $25.12 | Professional | 56 · Pre-op care only | $19.05 | $19.05 | $25.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $131.83 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $131.83 | $131.83 | $177.83 |
Where Nebraska sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 22nd of 51
$389
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.