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 $1,548.82 Median $4,365.16 Typical High $11,481.54 | Facility | None | $1,548.82 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $954.99 | Professional | None | $380.19 | $380.19 | $954.99 |
BCBS Nebraska Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $1,445.44 | Facility | None | $537.03 | $707.95 | $1,445.44 |
BCBS Nebraska Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $213.80 | Professional | None | $177.83 | $190.55 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $186.21 Typical High $229.09 | Facility | None | $123.03 | $186.21 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $1,202.26 | Professional | None | $691.83 | $933.25 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $251.19 Typical High $2,951.21 | Facility | None | $102.33 | $251.19 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $977.24 Typical High $3,090.30 | Professional | None | $575.44 | $977.24 | $3,090.30 |
Midlands Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,258.93 | Professional | None | $724.44 | $933.25 | $1,258.93 |
Midlands Setting Facility Modifier None Typical Low $117.49 Median $190.55 Typical High $239.88 | Facility | None | $117.49 | $190.55 | $239.88 |
Midlands Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $1,258.93 | Professional | None | $724.44 | $891.25 | $1,258.93 |
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 $575.44 Median $870.96 Typical High $1,071.52 | Professional | None | $575.44 | $870.96 | $1,071.52 |
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 $190.55 Median $190.55 Typical High $218.78 | Professional | 52 · Reduced service | $190.55 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $87.10 | Professional | 53 · Discontinued | $75.86 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $323.59 | Professional | 54 · Surgery only | $288.40 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $64.57 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $43.65 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $302.00 |
Where Nebraska sits
The same service costs 4.2 times more in Wyoming than in Utah. 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
$891
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.