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 $562.34 Median $562.34 Typical High $1,445.44 | Professional | None | $562.34 | $562.34 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,309.57 Median $8,317.64 Typical High $16,982.44 | Facility | None | $6,309.57 | $8,317.64 | $16,982.44 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,995.26 Median $2,041.74 Typical High $2,238.72 | Professional | None | $1,995.26 | $2,041.74 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,995.26 Typical High $3,890.45 | Facility | None | $1,288.25 | $1,995.26 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $1,778.28 | Professional | None | $1,047.13 | $1,412.54 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,951.21 Typical High $7,943.28 | Facility | None | $1,258.93 | $2,951.21 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,445.44 Typical High $5,888.44 | Professional | None | $870.96 | $1,445.44 | $5,888.44 |
Midlands Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $1,862.09 | Professional | None | $1,071.52 | $1,412.54 | $1,862.09 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $2,290.87 Typical High $3,801.89 | Facility | None | $1,288.25 | $2,290.87 | $3,801.89 |
Midlands Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,862.09 | Professional | None | $1,071.52 | $1,318.26 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $6,606.93 | Facility | None | $1,380.38 | $3,019.95 | $6,606.93 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,288.25 Typical High $1,621.81 | Professional | None | $870.96 | $1,288.25 | $1,621.81 |
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 $281.84 Median $281.84 Typical High $316.23 | Professional | 52 · Reduced service | $281.84 | $281.84 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | 53 · Discontinued | $112.20 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $478.63 | Professional | 54 · Surgery only | $416.87 | $416.87 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $95.50 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $63.10 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $446.68 |
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
$1,413
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.