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 $794.33 Median $7,079.46 Typical High $12,589.25 | Facility | None | $794.33 | $7,079.46 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $676.08 | Professional | None | $363.08 | $363.08 | $676.08 |
Ambetter Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
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 $660.69 Median $933.25 Typical High $954.99 | Professional | None | $660.69 | $933.25 | $954.99 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $7,244.36 Typical High $16,218.10 | Facility | None | $691.83 | $7,244.36 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $954.99 Typical High $3,388.44 | Professional | None | $575.44 | $954.99 | $3,388.44 |
Midlands Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,230.27 | Professional | None | $741.31 | $933.25 | $1,230.27 |
Midlands Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $1,230.27 | Professional | None | $741.31 | $912.01 | $1,230.27 |
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 $575.44 Median $870.96 Typical High $1,071.52 | Professional | None | $575.44 | $870.96 | $1,071.52 |
2 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 $275.42 Median $275.42 Typical High $323.59 | Professional | 54 · Surgery only | $275.42 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $257.04 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $257.04 | $257.04 | $302.00 |
Where Nebraska sits
The same service costs 4.4 times more in Alaska 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
$933
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.