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 $630.96 Median $7,943.28 Typical High $21,877.62 | Facility | None | $630.96 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,148.15 | Professional | None | $630.96 | $630.96 | $1,148.15 |
BCBS Nebraska Setting Facility Modifier None Typical Low $16,218.10 Median $21,379.62 Typical High $43,651.58 | Facility | None | $16,218.10 | $21,379.62 | $43,651.58 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,258.93 Typical High $1,778.28 | Professional | None | $794.33 | $1,258.93 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $933.25 Typical High $4,365.16 | Facility | None | $478.63 | $933.25 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $977.24 Typical High $5,248.07 | Professional | None | $549.54 | $977.24 | $5,248.07 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,584.89 | Professional | None | $891.25 | $1,174.90 | $1,584.89 |
Midlands Setting Professional Modifier None Typical Low $954.99 Median $1,479.11 Typical High $1,584.89 | Professional | None | $954.99 | $1,479.11 | $1,584.89 |
United Setting Facility Modifier None Typical Low $489.78 Median $891.25 Typical High $3,801.89 | Facility | None | $489.78 | $891.25 | $3,801.89 |
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 $467.74 Median $467.74 Typical High $575.44 | Professional | 54 · Surgery only | $467.74 | $467.74 | $575.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $512.86 |
Where Nebraska sits
The same service costs 8.5 times more in Alaska 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· 22nd of 51
$955
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.