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 $1,230.27 Median $4,466.84 Typical High $11,481.54 | Facility | None | $1,230.27 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $1,230.27 Typical High $1,445.44 | Professional | None | $354.81 | $1,230.27 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,073.80 Median $5,495.41 Typical High $11,220.18 | Facility | None | $4,073.80 | $5,495.41 | $11,220.18 |
BCBS Nebraska Setting Professional Modifier None Typical Low $316.23 Median $549.54 Typical High $758.58 | Professional | None | $316.23 | $549.54 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $2,089.30 Typical High $3,019.95 | Facility | None | $1,621.81 | $2,089.30 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $2,691.53 Typical High $3,548.13 | Professional | None | $851.14 | $2,691.53 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $2,691.53 Typical High $7,413.10 | Facility | None | $1,096.48 | $2,691.53 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $1,905.46 Median $3,467.37 Typical High $20,417.38 | Professional | None | $1,905.46 | $3,467.37 | $20,417.38 |
Midlands Setting Professional Modifier None Typical Low $870.96 Median $2,818.38 Typical High $3,548.13 | Professional | None | $870.96 | $2,818.38 | $3,548.13 |
Midlands Setting Facility Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $3,090.30 | Facility | None | $1,621.81 | $2,137.96 | $3,090.30 |
Midlands Setting Professional Modifier None Typical Low $741.31 Median $2,570.40 Typical High $2,951.21 | Professional | None | $741.31 | $2,570.40 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $6,606.93 | Facility | None | $1,380.38 | $3,019.95 | $6,606.93 |
United Setting Professional Modifier None Typical Low $537.03 Median $1,905.46 Typical High $3,981.07 | Professional | None | $537.03 | $1,905.46 | $3,981.07 |
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 $177.83 Median $177.83 Typical High $616.60 | Professional | 52 · Reduced service | $177.83 | $177.83 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $245.47 | Professional | 53 · Discontinued | $72.44 | $72.44 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $933.25 | Professional | 54 · Surgery only | $269.15 | $269.15 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $186.21 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $123.03 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $251.19 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $251.19 | $251.19 | $870.96 |
Where Nebraska sits
The same service costs 4.9 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· 50th of 51
$741
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.