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 $5,495.41 Median $9,549.93 Typical High $21,877.62 | Facility | None | $5,495.41 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,905.46 | Professional | None | $645.65 | $645.65 | $1,905.46 |
BCBS Nebraska Setting Facility Modifier None Typical Low $12,022.64 Median $15,848.93 Typical High $32,359.37 | Facility | None | $12,022.64 | $15,848.93 | $32,359.37 |
BCBS Nebraska Setting Professional Modifier None Typical Low $4,168.69 Median $4,466.84 Typical High $6,309.57 | Professional | None | $4,168.69 | $4,466.84 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $4,073.80 Typical High $5,248.07 | Facility | None | $1,949.84 | $4,073.80 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,174.90 | $1,659.59 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,951.21 Typical High $16,595.87 | Facility | None | $1,258.93 | $2,951.21 | $16,595.87 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,659.59 Typical High $10,964.78 | Professional | None | $1,000.00 | $1,659.59 | $10,964.78 |
Midlands Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $2,137.96 | Professional | None | $1,288.25 | $1,659.59 | $2,137.96 |
Midlands Setting Facility Modifier None Typical Low $1,949.84 Median $4,168.69 Typical High $6,760.83 | Facility | None | $1,949.84 | $4,168.69 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $2,137.96 | Professional | None | $1,288.25 | $1,584.89 | $2,137.96 |
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 $1,000.00 Median $1,412.54 Typical High $1,862.09 | Professional | None | $1,000.00 | $1,412.54 | $1,862.09 |
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 $323.59 Median $323.59 Typical High $371.54 | Professional | 52 · Reduced service | $323.59 | $323.59 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $147.91 | Professional | 53 · Discontinued | $128.82 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $549.54 | Professional | 54 · Surgery only | $478.63 | $478.63 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $109.65 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $512.86 |
Where Nebraska sits
The same service costs 6.3 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· 3rd of 51
$1,660
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.