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 $1,659.59 Median $5,011.87 Typical High $11,481.54 | Facility | None | $1,659.59 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,862.09 | Professional | None | $1,023.29 | $1,023.29 | $1,862.09 |
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 $954.99 Median $2,089.30 Typical High $2,691.53 | Facility | None | $954.99 | $2,089.30 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $3,162.28 | Professional | None | $1,819.70 | $2,511.89 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $7,943.28 | Facility | None | $1,148.15 | $2,137.96 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $8,128.31 | Professional | None | $1,548.82 | $2,570.40 | $8,128.31 |
Midlands Setting Professional Modifier None Typical Low $2,089.30 Median $2,511.89 Typical High $3,311.31 | Professional | None | $2,089.30 | $2,511.89 | $3,311.31 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $2,290.87 Typical High $3,162.28 | Facility | None | $954.99 | $2,290.87 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $3,311.31 | Professional | None | $2,089.30 | $2,570.40 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $6,309.57 | Facility | None | $1,288.25 | $2,238.72 | $6,309.57 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,344.23 Typical High $2,951.21 | Professional | None | $1,548.82 | $2,344.23 | $2,951.21 |
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 $512.86 Median $512.86 Typical High $575.44 | Professional | 52 · Reduced service | $512.86 | $512.86 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $229.09 | Professional | 53 · Discontinued | $204.17 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $870.96 | Professional | 54 · Surgery only | $758.58 | $758.58 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $173.78 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $812.83 |
Where Nebraska sits
The same service costs 5.2 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
$2,512
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.