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 $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $1,513.56 | Professional | None | $467.74 | $467.74 | $1,513.56 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,456.54 Median $8,709.64 Typical High $17,782.79 | Facility | None | $6,456.54 | $8,709.64 | $17,782.79 |
BCBS Nebraska Setting Professional Modifier None Typical Low $12,882.50 Median $13,803.84 Typical High $15,488.17 | Professional | None | $12,882.50 | $13,803.84 | $15,488.17 |
Cigna Setting Facility Modifier None Typical Low $13,489.63 Median $17,378.01 Typical High $18,620.87 | Facility | None | $13,489.63 | $17,378.01 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,621.81 Typical High $2,818.38 | Professional | None | $870.96 | $1,621.81 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $3,890.45 Typical High $18,620.87 | Facility | None | $1,584.89 | $3,890.45 | $18,620.87 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $3,019.95 Typical High $4,786.30 | Professional | None | $1,737.80 | $3,019.95 | $4,786.30 |
Midlands Setting Professional Modifier None Typical Low $870.96 Median $1,862.09 Typical High $2,818.38 | Professional | None | $870.96 | $1,862.09 | $2,818.38 |
Midlands Setting Facility Modifier None Typical Low $15,135.61 Median $17,378.01 Typical High $25,703.96 | Facility | None | $15,135.61 | $17,378.01 | $25,703.96 |
Midlands Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $3,019.95 | Professional | None | $1,071.52 | $1,230.27 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $3,981.07 Typical High $13,803.84 | Facility | None | $1,819.70 | $3,981.07 | $13,803.84 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,570.40 Typical High $3,235.94 | Professional | None | $1,737.80 | $2,570.40 | $3,235.94 |
3 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 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $501.19 | Professional | 54 · Surgery only | $346.74 | $346.74 | $501.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $467.74 |
Ambetter Setting Professional Modifier 79 · Unrelated procedure after surgery Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 79 · Unrelated procedure after surgery | $758.58 | $758.58 | $758.58 |
Where Nebraska sits
The same service costs 8.3 times more in South Dakota than in Kentucky. 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· 2nd of 51
$2,754
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.