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 $5,011.87 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,011.87 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $2,041.74 | Professional | None | $1,122.02 | $1,122.02 | $2,041.74 |
BCBS Nebraska Setting Facility Modifier None Typical Low $12,882.50 Median $16,982.44 Typical High $34,673.69 | Facility | None | $12,882.50 | $16,982.44 | $34,673.69 |
BCBS Nebraska Setting Professional Modifier None Typical Low $5,370.32 Median $5,754.40 Typical High $6,456.54 | Professional | None | $5,370.32 | $5,754.40 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $7,762.47 Median $8,912.51 Typical High $9,549.93 | Facility | None | $7,762.47 | $8,912.51 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $3,467.37 | Professional | None | $2,041.74 | $2,754.23 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $3,981.07 Typical High $17,378.01 | Facility | None | $1,819.70 | $3,981.07 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $2,884.03 Typical High $9,120.11 | Professional | None | $1,737.80 | $2,884.03 | $9,120.11 |
Midlands Setting Professional Modifier None Typical Low $2,238.72 Median $2,754.23 Typical High $3,715.35 | Professional | None | $2,238.72 | $2,754.23 | $3,715.35 |
Midlands Setting Facility Modifier None Typical Low $7,762.47 Median $8,912.51 Typical High $13,182.57 | Facility | None | $7,762.47 | $8,912.51 | $13,182.57 |
Midlands Setting Professional Modifier None Typical Low $2,238.72 Median $2,754.23 Typical High $3,715.35 | Professional | None | $2,238.72 | $2,754.23 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $3,981.07 Typical High $13,182.57 | Facility | None | $1,819.70 | $3,981.07 | $13,182.57 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,511.89 Typical High $3,235.94 | Professional | None | $1,737.80 | $2,511.89 | $3,235.94 |
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 $549.54 Median $549.54 Typical High $660.69 | Professional | 52 · Reduced service | $549.54 | $549.54 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $263.03 | Professional | 53 · Discontinued | $223.87 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $1,000.00 | Professional | 54 · Surgery only | $831.76 | $831.76 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $199.53 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $933.25 |
Where Nebraska sits
The same service costs 25.7 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· 4th of 51
$2,754
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.