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 $741.31 Median $7,079.46 Typical High $12,589.25 | Facility | None | $741.31 | $7,079.46 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $891.25 | Professional | None | $338.84 | $354.81 | $891.25 |
Ambetter Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,456.54 Median $8,709.64 Typical High $17,782.79 | Facility | None | $6,456.54 | $8,709.64 | $17,782.79 |
BCBS Nebraska Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,570.88 | Professional | None | $4,168.69 | $4,168.69 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $891.25 | Professional | None | $616.60 | $870.96 | $891.25 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $7,244.36 Typical High $16,218.10 | Facility | None | $645.65 | $7,244.36 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $891.25 Typical High $3,162.28 | Professional | None | $537.03 | $891.25 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,148.15 | Professional | None | $691.83 | $870.96 | $1,148.15 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,148.15 | Professional | None | $691.83 | $870.96 | $1,148.15 |
United Setting Facility Modifier None Typical Low $6,309.57 Median $7,585.78 Typical High $9,120.11 | Facility | None | $6,309.57 | $7,585.78 | $9,120.11 |
United Setting Professional Modifier None Typical Low $537.03 Median $812.83 Typical High $1,000.00 | Professional | None | $537.03 | $812.83 | $1,000.00 |
3 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 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | 54 · Surgery only | $257.04 | $257.04 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $239.88 | $239.88 | $288.40 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $91.20 Median $109.65 Typical High $109.65 | Professional | AS · PA/NP assist | $91.20 | $109.65 | $109.65 |
Where Nebraska sits
The same service costs 4.2 times more in Wyoming than in Utah. 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
$871
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.