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 $691.83 Median $691.83 Typical High $1,584.89 | Professional | None | $691.83 | $691.83 | $1,584.89 |
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 $1,380.38 Median $4,073.80 Typical High $5,248.07 | Facility | None | $1,380.38 | $4,073.80 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,202.26 | $1,659.59 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $16,595.87 | Facility | None | $1,318.26 | $2,951.21 | $16,595.87 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,737.80 Typical High $6,760.83 | Professional | None | $1,023.29 | $1,737.80 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,380.38 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,380.38 | $1,659.59 | $2,187.76 |
Midlands Setting Facility Modifier None Typical Low $1,380.38 Median $4,168.69 Typical High $5,623.41 | Facility | None | $1,380.38 | $4,168.69 | $5,623.41 |
Midlands Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $2,187.76 | Professional | None | $1,380.38 | $1,698.24 | $2,187.76 |
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 $1,023.29 Median $1,584.89 Typical High $1,905.46 | Professional | None | $1,023.29 | $1,584.89 | $1,905.46 |
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 $338.84 Median $338.84 Typical High $389.05 | Professional | 52 · Reduced service | $338.84 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $154.88 | Professional | 53 · Discontinued | $138.04 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $575.44 | Professional | 54 · Surgery only | $512.86 | $512.86 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $77.62 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $537.03 |
Where Nebraska sits
The same service costs 6.2 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· 4th of 51
$1,698
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.