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 $204.17 Median $3,801.89 Typical High $11,481.54 | Facility | None | $204.17 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $204.17 Typical High $275.42 | Professional | None | $128.82 | $204.17 | $275.42 |
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 $117.49 Median $204.17 Typical High $263.03 | Professional | None | $117.49 | $204.17 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $288.40 Typical High $331.13 | Facility | None | $223.87 | $288.40 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $537.03 | Professional | None | $295.12 | $446.68 | $537.03 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $1,071.52 Typical High $3,715.35 | Facility | None | $251.19 | $1,071.52 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $616.60 Typical High $1,698.24 | Professional | None | $331.13 | $616.60 | $1,698.24 |
Midlands Setting Professional Modifier None Typical Low $338.84 Median $501.19 Typical High $575.44 | Professional | None | $338.84 | $501.19 | $575.44 |
Midlands Setting Facility Modifier None Typical Low $223.87 Median $281.84 Typical High $363.08 | Facility | None | $223.87 | $281.84 | $363.08 |
Midlands Setting Professional Modifier None Typical Low $281.84 Median $446.68 Typical High $645.65 | Professional | None | $281.84 | $446.68 | $645.65 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $4,073.80 | Facility | None | $707.95 | $1,445.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $204.17 Median $346.74 Typical High $588.84 | Professional | None | $204.17 | $346.74 | $588.84 |
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 $64.57 Median $102.33 Typical High $114.82 | Professional | 52 · Reduced service | $64.57 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $40.74 Typical High $45.71 | Professional | 53 · Discontinued | $26.30 | $40.74 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $154.88 Typical High $173.78 | Professional | 54 · Surgery only | $97.72 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $30.90 Typical High $34.67 | Professional | 55 · Aftercare only | $19.50 | $30.90 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $20.42 Typical High $22.91 | Professional | 56 · Pre-op care only | $12.88 | $20.42 | $22.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $144.54 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $91.20 | $144.54 | $162.18 |
Where Nebraska sits
The same service costs 3.5 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· 17th of 51
$275
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.