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 $416.87 Median $4,466.84 Typical High $11,481.54 | Facility | None | $416.87 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $549.54 | Professional | None | $302.00 | $416.87 | $549.54 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,248.07 Median $6,918.31 Typical High $14,125.38 | Facility | None | $5,248.07 | $6,918.31 | $14,125.38 |
BCBS Nebraska Setting Professional Modifier None Typical Low $275.42 Median $489.78 Typical High $660.69 | Professional | None | $275.42 | $489.78 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $4,073.80 Typical High $5,248.07 | Facility | None | $954.99 | $4,073.80 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $1,071.52 | Professional | None | $660.69 | $933.25 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $1,819.70 Typical High $9,772.37 | Facility | None | $812.83 | $1,819.70 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,230.27 Typical High $3,311.31 | Professional | None | $660.69 | $1,230.27 | $3,311.31 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,174.90 | Professional | None | $794.33 | $1,047.13 | $1,174.90 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $4,168.69 Typical High $5,623.41 | Facility | None | $954.99 | $4,168.69 | $5,623.41 |
Midlands Setting Professional Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,258.93 | Professional | None | $660.69 | $1,000.00 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $7,413.10 | Facility | None | $1,174.90 | $1,862.09 | $7,413.10 |
United Setting Professional Modifier None Typical Low $478.63 Median $794.33 Typical High $1,148.15 | Professional | None | $478.63 | $794.33 | $1,148.15 |
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 $151.36 Median $208.93 Typical High $229.09 | Professional | 52 · Reduced service | $151.36 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $83.18 Typical High $93.33 | Professional | 53 · Discontinued | $60.26 | $83.18 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $309.03 Typical High $346.74 | Professional | 54 · Surgery only | $229.09 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $61.66 Typical High $69.18 | Professional | 55 · Aftercare only | $45.71 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $41.69 Typical High $45.71 | Professional | 56 · Pre-op care only | $30.20 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $288.40 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $213.80 | $288.40 | $323.59 |
Where Nebraska sits
The same service costs 4.0 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· 13th of 51
$646
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.