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 $1,380.38 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,380.38 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $3,630.78 | Professional | None | $1,071.52 | $1,380.38 | $3,630.78 |
BCBS Nebraska Setting Facility Modifier None Typical Low $7,244.36 Median $9,772.37 Typical High $19,952.62 | Facility | None | $7,244.36 | $9,772.37 | $19,952.62 |
BCBS Nebraska Setting Professional Modifier None Typical Low $954.99 Median $1,659.59 Typical High $2,290.87 | Professional | None | $954.99 | $1,659.59 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $4,073.80 Typical High $5,248.07 | Facility | None | $1,380.38 | $4,073.80 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $3,019.95 Typical High $3,548.13 | Professional | None | $2,511.89 | $3,019.95 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $9,772.37 | Facility | None | $1,318.26 | $2,951.21 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $2,089.30 Median $3,467.37 Typical High $11,220.18 | Professional | None | $2,089.30 | $3,467.37 | $11,220.18 |
Midlands Setting Professional Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $3,981.07 | Professional | None | $2,511.89 | $3,090.30 | $3,981.07 |
Midlands Setting Facility Modifier None Typical Low $1,380.38 Median $4,168.69 Typical High $5,623.41 | Facility | None | $1,380.38 | $4,168.69 | $5,623.41 |
Midlands Setting Professional Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $3,311.31 | Professional | None | $2,238.72 | $2,884.03 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $7,585.78 | Facility | None | $1,380.38 | $3,019.95 | $7,585.78 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,818.38 Typical High $3,715.35 | Professional | None | $1,778.28 | $2,818.38 | $3,715.35 |
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 $537.03 Median $537.03 Typical High $691.83 | Professional | 52 · Reduced service | $537.03 | $537.03 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $275.42 | Professional | 53 · Discontinued | $213.80 | $213.80 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $1,023.29 | Professional | 54 · Surgery only | $812.83 | $812.83 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $204.17 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $138.04 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $954.99 |
Where Nebraska sits
The same service costs 5.2 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· 15th of 51
$2,089
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.