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 $181.97 Median $3,801.89 Typical High $11,481.54 | Facility | None | $181.97 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $181.97 Typical High $251.19 | Professional | None | $74.13 | $181.97 | $251.19 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,715.35 Median $5,011.87 Typical High $10,232.93 | Facility | None | $3,715.35 | $5,011.87 | $10,232.93 |
BCBS Nebraska Setting Professional Modifier None Typical Low $67.61 Median $120.23 Typical High $162.18 | Professional | None | $67.61 | $120.23 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,819.70 Typical High $2,511.89 | Facility | None | $645.65 | $1,819.70 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $380.19 Typical High $478.63 | Professional | None | $177.83 | $380.19 | $478.63 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $1,122.02 Typical High $7,943.28 | Facility | None | $354.81 | $1,122.02 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $489.78 Typical High $1,479.11 | Professional | None | $251.19 | $489.78 | $1,479.11 |
Midlands Setting Professional Modifier None Typical Low $186.21 Median $389.05 Typical High $549.54 | Professional | None | $186.21 | $389.05 | $549.54 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $2,041.74 Typical High $2,630.27 | Facility | None | $645.65 | $2,041.74 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $398.11 Typical High $549.54 | Professional | None | $158.49 | $398.11 | $549.54 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,715.35 | Facility | None | $707.95 | $1,445.44 | $3,715.35 |
United Setting Professional Modifier None Typical Low $114.82 Median $223.87 Typical High $478.63 | Professional | None | $114.82 | $223.87 | $478.63 |
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 $37.15 Median $83.18 Typical High $91.20 | Professional | 52 · Reduced service | $37.15 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $33.11 Typical High $36.31 | Professional | 53 · Discontinued | $15.14 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $123.03 Typical High $134.90 | Professional | 54 · Surgery only | $56.23 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $25.12 Typical High $26.92 | Professional | 55 · Aftercare only | $11.22 | $25.12 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $16.60 Typical High $18.20 | Professional | 56 · Pre-op care only | $7.41 | $16.60 | $18.20 |
Where Nebraska sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 30th of 51
$178
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.