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 $338.84 Median $9,549.93 Typical High $21,877.62 | Facility | None | $338.84 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $338.84 Typical High $457.09 | Professional | None | $204.17 | $338.84 | $457.09 |
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 $181.97 Median $323.59 Typical High $446.68 | Professional | None | $181.97 | $323.59 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $3,890.45 | Facility | None | $1,584.89 | $2,089.30 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $724.44 Typical High $891.25 | Professional | None | $446.68 | $724.44 | $891.25 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,819.70 Typical High $7,943.28 | Facility | None | $676.08 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $891.25 Typical High $2,818.38 | Professional | None | $489.78 | $891.25 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $478.63 Median $758.58 Typical High $912.01 | Professional | None | $478.63 | $758.58 | $912.01 |
Midlands Setting Facility Modifier None Typical Low $1,862.09 Median $2,238.72 Typical High $3,801.89 | Facility | None | $1,862.09 | $2,238.72 | $3,801.89 |
Midlands Setting Professional Modifier None Typical Low $426.58 Median $741.31 Typical High $954.99 | Professional | None | $426.58 | $741.31 | $954.99 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,623.41 | Facility | None | $1,174.90 | $1,862.09 | $5,623.41 |
United Setting Professional Modifier None Typical Low $295.12 Median $512.86 Typical High $891.25 | Professional | None | $295.12 | $512.86 | $891.25 |
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 $102.33 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $102.33 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $67.61 Typical High $69.18 | Professional | 53 · Discontinued | $40.74 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $257.04 Typical High $257.04 | Professional | 54 · Surgery only | $151.36 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $30.20 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $33.88 Typical High $34.67 | Professional | 56 · Pre-op care only | $20.42 | $33.88 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $239.88 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $141.25 | $239.88 | $239.88 |
Where Nebraska sits
The same service costs 3.7 times more in Wyoming 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· 14th of 51
$437
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.