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 $1,659.59 Median $4,466.84 Typical High $11,481.54 | Facility | None | $1,659.59 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $1,445.44 Typical High $2,089.30 | Professional | None | $208.93 | $1,445.44 | $2,089.30 |
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 $181.97 Median $323.59 Typical High $446.68 | Professional | None | $181.97 | $323.59 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $1,737.80 | Facility | None | $1,174.90 | $1,513.56 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $4,168.69 Typical High $5,370.32 | Professional | None | $489.78 | $4,168.69 | $5,370.32 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,412.54 Typical High $4,265.80 | Facility | None | $588.84 | $1,412.54 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $2,630.27 Median $4,073.80 Typical High $17,378.01 | Professional | None | $2,630.27 | $4,073.80 | $17,378.01 |
Midlands Setting Professional Modifier None Typical Low $512.86 Median $4,168.69 Typical High $5,888.44 | Professional | None | $512.86 | $4,168.69 | $5,888.44 |
Midlands Setting Facility Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $1,862.09 | Facility | None | $1,174.90 | $1,548.82 | $1,862.09 |
Midlands Setting Professional Modifier None Typical Low $436.52 Median $4,365.16 Typical High $5,011.87 | Professional | None | $436.52 | $4,365.16 | $5,011.87 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,311.31 | Facility | None | $707.95 | $1,445.44 | $3,311.31 |
United Setting Professional Modifier None Typical Low $323.59 Median $2,630.27 Typical High $5,128.61 | Professional | None | $323.59 | $2,630.27 | $5,128.61 |
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 $154.88 Median $154.88 Typical High $1,584.89 | Professional | 54 · Surgery only | $154.88 | $154.88 | $1,584.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $144.54 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $144.54 | $144.54 | $1,479.11 |
Where Nebraska sits
The same service costs 7.1 times more in Oregon 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
$437
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.