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 $3,235.94 Median $3,467.37 Typical High $3,890.45 | Professional | None | $3,235.94 | $3,467.37 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $7,762.47 Median $8,912.51 Typical High $9,549.93 | Facility | None | $7,762.47 | $8,912.51 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,174.90 Typical High $1,513.56 | Professional | None | $758.58 | $1,174.90 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $2,818.38 Typical High $13,489.63 | Facility | None | $1,096.48 | $2,818.38 | $13,489.63 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $954.99 Typical High $4,265.80 | Professional | None | $549.54 | $954.99 | $4,265.80 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $933.25 Typical High $1,202.26 | Professional | None | $891.25 | $933.25 | $1,202.26 |
Midlands Setting Facility Modifier None Typical Low $7,762.47 Median $8,912.51 Typical High $13,182.57 | Facility | None | $7,762.47 | $8,912.51 | $13,182.57 |
Midlands Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,288.25 | Professional | None | $933.25 | $1,174.90 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $8,912.51 | Facility | None | $1,380.38 | $3,019.95 | $8,912.51 |
United Setting Professional Modifier None Typical Low $549.54 Median $870.96 Typical High $1,071.52 | Professional | None | $549.54 | $870.96 | $1,071.52 |
2 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 $467.74 | Professional | 54 · Surgery only | $346.74 | $346.74 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $436.52 |
Where Nebraska sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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
$977
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.