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 $323.59 Median $3,801.89 Typical High $11,481.54 | Facility | None | $323.59 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $426.58 | Professional | None | $204.17 | $323.59 | $426.58 |
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 $181.97 Median $323.59 Typical High $407.38 | Professional | None | $181.97 | $323.59 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $389.05 Typical High $457.09 | Facility | None | $288.40 | $389.05 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $851.14 | Professional | None | $446.68 | $676.08 | $851.14 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $1,096.48 Typical High $3,019.95 | Facility | None | $389.05 | $1,096.48 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $831.76 Typical High $2,630.27 | Professional | None | $489.78 | $831.76 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $478.63 Median $724.44 Typical High $933.25 | Professional | None | $478.63 | $724.44 | $933.25 |
Midlands Setting Facility Modifier None Typical Low $288.40 Median $389.05 Typical High $478.63 | Facility | None | $288.40 | $389.05 | $478.63 |
Midlands Setting Professional Modifier None Typical Low $426.58 Median $707.95 Typical High $933.25 | Professional | None | $426.58 | $707.95 | $933.25 |
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 $316.23 Median $524.81 Typical High $851.14 | Professional | None | $316.23 | $524.81 | $851.14 |
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 $102.33 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $102.33 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $40.74 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $239.88 Typical High $245.47 | Professional | 54 · Surgery only | $151.36 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $47.86 Typical High $48.98 | Professional | 55 · Aftercare only | $30.90 | $47.86 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $32.36 Typical High $32.36 | Professional | 56 · Pre-op care only | $20.42 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $223.87 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $141.25 | $223.87 | $229.09 |
Where Nebraska sits
The same service costs 3.6 times more in Alaska than in New Jersey. 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
$407
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.