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 $208.93 Median $3,801.89 Typical High $11,481.54 | Facility | None | $208.93 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $208.93 Typical High $275.42 | Professional | None | $109.65 | $208.93 | $275.42 |
BCBS Nebraska Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $1,445.44 | Facility | None | $537.03 | $707.95 | $1,445.44 |
BCBS Nebraska Setting Professional Modifier None Typical Low $97.72 Median $173.78 Typical High $218.78 | Professional | None | $97.72 | $173.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $229.09 Typical High $645.65 | Facility | None | $158.49 | $229.09 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $446.68 Typical High $549.54 | Professional | None | $263.03 | $446.68 | $549.54 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $251.19 Typical High $1,995.26 | Facility | None | $112.20 | $251.19 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $575.44 Typical High $1,698.24 | Professional | None | $309.03 | $575.44 | $1,698.24 |
Midlands Setting Professional Modifier None Typical Low $281.84 Median $501.19 Typical High $575.44 | Professional | None | $281.84 | $501.19 | $575.44 |
Midlands Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $645.65 | Facility | None | $173.78 | $229.09 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $234.42 Median $457.09 Typical High $645.65 | Professional | None | $234.42 | $457.09 | $645.65 |
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 $309.03 Typical High $575.44 | Professional | None | $165.96 | $309.03 | $575.44 |
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 $54.95 Median $102.33 Typical High $104.71 | Professional | 52 · Reduced service | $54.95 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $21.88 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $154.88 Typical High $158.49 | Professional | 54 · Surgery only | $83.18 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $30.90 Typical High $31.62 | Professional | 55 · Aftercare only | $16.60 | $30.90 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $10.96 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $144.54 Typical High $147.91 | Professional | 78 · Unplanned return to OR | $77.62 | $144.54 | $147.91 |
Where Nebraska sits
The same service costs 3.5 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· 22nd of 51
$219
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.