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 $5,011.87 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,011.87 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,445.44 | Professional | None | $741.31 | $741.31 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8,128.31 Median $10,715.19 Typical High $21,877.62 | Facility | None | $8,128.31 | $10,715.19 | $21,877.62 |
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 $1,288.25 Median $4,073.80 Typical High $5,248.07 | Facility | None | $1,288.25 | $4,073.80 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $2,344.23 | Professional | None | $1,380.38 | $1,905.46 | $2,344.23 |
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 $1,174.90 Median $1,949.84 Typical High $7,079.46 | Professional | None | $1,174.90 | $1,949.84 | $7,079.46 |
Midlands Setting Professional Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $2,511.89 | Professional | None | $1,412.54 | $1,905.46 | $2,511.89 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $5,623.41 | Facility | None | $1,288.25 | $4,168.69 | $5,623.41 |
Midlands Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $2,511.89 | Professional | None | $1,412.54 | $1,778.28 | $2,511.89 |
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 $1,174.90 Median $1,737.80 Typical High $2,187.76 | Professional | None | $1,174.90 | $1,737.80 | $2,187.76 |
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 $371.54 Median $371.54 Typical High $426.58 | Professional | 52 · Reduced service | $371.54 | $371.54 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | 53 · Discontinued | $151.36 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $645.65 | Professional | 54 · Surgery only | $562.34 | $562.34 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $128.82 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $85.11 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $602.56 |
Where Nebraska sits
The same service costs 6.5 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
$1,905
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.