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 $223.87 Median $3,801.89 Typical High $11,481.54 | Facility | None | $223.87 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $223.87 Typical High $588.84 | Professional | None | $128.82 | $223.87 | $588.84 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,168.69 Median $5,495.41 Typical High $11,220.18 | Facility | None | $4,168.69 | $5,495.41 | $11,220.18 |
BCBS Nebraska Setting Professional Modifier None Typical Low $114.82 Median $204.17 Typical High $269.15 | Professional | None | $114.82 | $204.17 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $295.12 Typical High $346.74 | Facility | None | $239.88 | $295.12 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $467.74 Typical High $575.44 | Professional | None | $309.03 | $467.74 | $575.44 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $245.47 Typical High $1,288.25 | Facility | None | $102.33 | $245.47 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $575.44 Typical High $1,778.28 | Professional | None | $331.13 | $575.44 | $1,778.28 |
Midlands Setting Professional Modifier None Typical Low $316.23 Median $537.03 Typical High $660.69 | Professional | None | $316.23 | $537.03 | $660.69 |
Midlands Setting Facility Modifier None Typical Low $239.88 Median $302.00 Typical High $371.54 | Facility | None | $239.88 | $302.00 | $371.54 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $489.78 Typical High $660.69 | Professional | None | $269.15 | $489.78 | $660.69 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $194.98 Median $331.13 Typical High $588.84 | Professional | None | $194.98 | $331.13 | $588.84 |
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 $64.57 Median $112.20 Typical High $114.82 | Professional | 52 · Reduced service | $64.57 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $44.67 Typical High $46.77 | Professional | 53 · Discontinued | $25.70 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $165.96 Typical High $173.78 | Professional | 54 · Surgery only | $95.50 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $33.11 Typical High $34.67 | Professional | 55 · Aftercare only | $19.05 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $22.39 Typical High $22.91 | Professional | 56 · Pre-op care only | $12.88 | $22.39 | $22.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $89.13 Median $154.88 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $89.13 | $154.88 | $162.18 |
Where Nebraska sits
The same service costs 3.5 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· 16th of 51
$269
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.