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 $239.88 Median $3,801.89 Typical High $11,481.54 | Facility | None | $239.88 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $239.88 Typical High $316.23 | Professional | None | $165.96 | $239.88 | $316.23 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,025.60 Median $8,128.31 Typical High $16,218.10 | Facility | None | $6,025.60 | $8,128.31 | $16,218.10 |
BCBS Nebraska Setting Professional Modifier None Typical Low $147.91 Median $263.03 Typical High $363.08 | Professional | None | $147.91 | $263.03 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $478.63 Typical High $691.83 | Facility | None | $331.13 | $478.63 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $524.81 Typical High $616.60 | Professional | None | $363.08 | $524.81 | $616.60 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $269.15 Typical High $1,995.26 | Facility | None | $114.82 | $269.15 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $676.08 Typical High $2,398.83 | Professional | None | $363.08 | $676.08 | $2,398.83 |
Midlands Setting Professional Modifier None Typical Low $407.38 Median $575.44 Typical High $645.65 | Professional | None | $407.38 | $575.44 | $645.65 |
Midlands Setting Facility Modifier None Typical Low $331.13 Median $478.63 Typical High $691.83 | Facility | None | $331.13 | $478.63 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $346.74 Median $549.54 Typical High $724.44 | Professional | None | $346.74 | $549.54 | $724.44 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $251.19 Median $416.87 Typical High $630.96 | Professional | None | $251.19 | $416.87 | $630.96 |
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 $83.18 Median $117.49 Typical High $128.82 | Professional | 52 · Reduced service | $83.18 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $47.86 Typical High $51.29 | Professional | 53 · Discontinued | $33.11 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $177.83 Typical High $194.98 | Professional | 54 · Surgery only | $125.89 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $35.48 Typical High $38.90 | Professional | 55 · Aftercare only | $25.12 | $35.48 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $23.99 Typical High $25.70 | Professional | 56 · Pre-op care only | $16.60 | $23.99 | $25.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $165.96 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $117.49 | $165.96 | $181.97 |
Where Nebraska sits
The same service costs 4.2 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· 13th of 51
$347
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.