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 $1,659.59 Median $5,011.87 Typical High $11,481.54 | Facility | None | $1,659.59 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,445.44 | Professional | None | $616.60 | $616.60 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,128.31 Median $10,715.19 Typical High $21,877.62 | Facility | None | $8,128.31 | $10,715.19 | $21,877.62 |
BCBS Nebraska Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,888.44 | Professional | None | $5,370.32 | $5,370.32 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $4,168.69 Typical High $6,760.83 | Facility | None | $3,235.94 | $4,168.69 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $1,949.84 | Professional | None | $1,047.13 | $1,513.56 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,818.38 Typical High $8,912.51 | Facility | None | $1,174.90 | $2,818.38 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,584.89 Typical High $4,897.79 | Professional | None | $933.25 | $1,584.89 | $4,897.79 |
Midlands Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,230.27 | $1,513.56 | $1,995.26 |
Midlands Setting Facility Modifier None Typical Low $3,235.94 Median $5,128.61 Typical High $7,079.46 | Facility | None | $3,235.94 | $5,128.61 | $7,079.46 |
Midlands Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,230.27 | $1,513.56 | $1,995.26 |
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 $933.25 Median $1,380.38 Typical High $1,737.80 | Professional | None | $933.25 | $1,380.38 | $1,737.80 |
2 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 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $512.86 | Professional | 54 · Surgery only | $457.09 | $457.09 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $478.63 |
Where Nebraska sits
The same service costs 24.0 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· 5th of 51
$1,514
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.