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 $549.54 Median $549.54 Typical High $1,513.56 | Professional | None | $549.54 | $549.54 | $1,513.56 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,623.41 Median $7,413.10 Typical High $15,135.61 | Facility | None | $5,623.41 | $7,413.10 | $15,135.61 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $2,290.87 | Professional | None | $1,995.26 | $2,089.30 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,041.74 Typical High $2,570.40 | Facility | None | $1,096.48 | $2,041.74 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,380.38 Typical High $1,737.80 | Professional | None | $954.99 | $1,380.38 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $1,819.70 Typical High $7,943.28 | Facility | None | $1,047.13 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,412.54 Typical High $4,466.84 | Professional | None | $851.14 | $1,412.54 | $4,466.84 |
Midlands Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $1,819.70 | Professional | None | $1,174.90 | $1,380.38 | $1,819.70 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $2,089.30 Typical High $2,630.27 | Facility | None | $1,096.48 | $2,089.30 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $1,819.70 | Professional | None | $1,148.15 | $1,445.44 | $1,819.70 |
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 $851.14 Median $1,258.93 Typical High $1,584.89 | Professional | None | $851.14 | $1,258.93 | $1,584.89 |
6 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 $275.42 Median $275.42 Typical High $331.13 | Professional | 52 · Reduced service | $275.42 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | 53 · Discontinued | $112.20 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $489.78 | Professional | 54 · Surgery only | $416.87 | $416.87 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $66.07 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $457.09 |
Where Nebraska sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 3rd of 51
$1,413
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.