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 $4,677.35 Median $7,943.28 Typical High $21,877.62 | Facility | None | $4,677.35 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,659.59 | Professional | None | $912.01 | $912.01 | $1,659.59 |
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 $4,265.80 Typical High $4,677.35 | Professional | None | $4,168.69 | $4,265.80 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $4,168.69 Typical High $5,248.07 | Facility | None | $3,235.94 | $4,168.69 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,238.72 Typical High $2,884.03 | Professional | None | $1,584.89 | $2,238.72 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $9,772.37 | Facility | None | $1,318.26 | $2,951.21 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $2,290.87 Typical High $7,413.10 | Professional | None | $1,380.38 | $2,290.87 | $7,413.10 |
Midlands Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,951.21 | Professional | None | $1,905.46 | $2,238.72 | $2,951.21 |
Midlands Setting Facility Modifier None Typical Low $3,388.44 Median $4,365.16 Typical High $5,623.41 | Facility | None | $3,388.44 | $4,365.16 | $5,623.41 |
Midlands Setting Professional Modifier None Typical Low $1,862.09 Median $2,398.83 Typical High $2,951.21 | Professional | None | $1,862.09 | $2,398.83 | $2,951.21 |
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 $1,380.38 Median $1,905.46 Typical High $2,454.71 | Professional | None | $1,380.38 | $1,905.46 | $2,454.71 |
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 $446.68 Median $446.68 Typical High $512.86 | Professional | 52 · Reduced service | $446.68 | $446.68 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | 53 · Discontinued | $181.97 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $776.25 | Professional | 54 · Surgery only | $676.08 | $676.08 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $154.88 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $102.33 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $724.44 |
Where Nebraska sits
The same service costs 5.8 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
$2,239
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.