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 $199.53 Median $4,466.84 Typical High $11,481.54 | Facility | None | $199.53 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $1,445.44 | Professional | None | $173.78 | $199.53 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,248.07 Median $7,079.46 Typical High $14,454.40 | Facility | None | $5,248.07 | $7,079.46 | $14,454.40 |
BCBS Nebraska Setting Professional Modifier None Typical Low $151.36 Median $269.15 Typical High $371.54 | Professional | None | $151.36 | $269.15 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,778.28 Typical High $3,019.95 | Facility | None | $954.99 | $1,778.28 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $575.44 | Professional | None | $398.11 | $426.58 | $575.44 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $1,819.70 Typical High $7,943.28 | Facility | None | $371.54 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $478.63 Typical High $2,238.72 | Professional | None | $275.42 | $478.63 | $2,238.72 |
Midlands Setting Professional Modifier None Typical Low $416.87 Median $478.63 Typical High $575.44 | Professional | None | $416.87 | $478.63 | $575.44 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,949.84 Typical High $3,162.28 | Facility | None | $954.99 | $1,949.84 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $363.08 Median $416.87 Typical High $467.74 | Professional | None | $363.08 | $416.87 | $467.74 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,623.41 | Facility | None | $1,174.90 | $1,862.09 | $5,623.41 |
United Setting Professional Modifier None Typical Low $263.03 Median $416.87 Typical High $524.81 | Professional | None | $263.03 | $416.87 | $524.81 |
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 $87.10 Median $87.10 Typical High $100.00 | Professional | 52 · Reduced service | $87.10 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $39.81 | Professional | 53 · Discontinued | $34.67 | $34.67 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | 54 · Surgery only | $131.83 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $30.20 | Professional | 55 · Aftercare only | $26.30 | $26.30 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $19.95 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $19.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $123.03 Typical High $138.04 | Professional | 78 · Unplanned return to OR | $123.03 | $123.03 | $138.04 |
Where Nebraska sits
The same service costs 5.9 times more in Oklahoma 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· 18th of 51
$339
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.