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 $1,659.59 Median $5,011.87 Typical High $11,481.54 | Facility | None | $1,659.59 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $1,445.44 | Professional | None | $323.59 | $323.59 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,370.32 Median $7,079.46 Typical High $14,454.40 | Facility | None | $5,370.32 | $7,079.46 | $14,454.40 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,258.93 | $1,288.25 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,584.89 Typical High $2,344.23 | Facility | None | $954.99 | $1,584.89 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,000.00 | Professional | None | $630.96 | $851.14 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,819.70 Typical High $6,456.54 | Facility | None | $851.14 | $1,819.70 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $851.14 Typical High $2,818.38 | Professional | None | $512.86 | $851.14 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,122.02 | Professional | None | $630.96 | $851.14 | $1,122.02 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,584.89 Typical High $2,344.23 | Facility | None | $954.99 | $1,584.89 | $2,344.23 |
Midlands Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $1,122.02 | Professional | None | $630.96 | $776.25 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,174.90 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $512.86 Median $776.25 Typical High $954.99 | Professional | None | $512.86 | $776.25 | $954.99 |
5 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 $162.18 Median $162.18 Typical High $199.53 | Professional | 52 · Reduced service | $162.18 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | 53 · Discontinued | $64.57 | $64.57 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $302.00 | Professional | 54 · Surgery only | $245.47 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $60.26 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $40.74 |
Where Nebraska sits
The same service costs 4.8 times more in Alaska 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
$851
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.