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 $141.25 Median $7,585.78 Typical High $12,589.25 | Facility | None | $141.25 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $181.97 Typical High $346.74 | Professional | None | $109.65 | $181.97 | $346.74 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $6,165.95 | Facility | None | $2,290.87 | $3,019.95 | $6,165.95 |
BCBS Nebraska Setting Professional Modifier None Typical Low $93.33 Median $162.18 Typical High $218.78 | Professional | None | $93.33 | $162.18 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $74.13 | Facility | None | $69.18 | $69.18 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $354.81 | Professional | None | $251.19 | $295.12 | $354.81 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $239.88 Typical High $1,288.25 | Facility | None | $102.33 | $239.88 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $323.59 Typical High $1,096.48 | Professional | None | $186.21 | $323.59 | $1,096.48 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $323.59 Typical High $363.08 | Professional | None | $257.04 | $323.59 | $363.08 |
Midlands Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $74.13 | Facility | None | $69.18 | $69.18 | $74.13 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $281.84 Typical High $323.59 | Professional | None | $218.78 | $281.84 | $323.59 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $154.88 Median $251.19 Typical High $346.74 | Professional | None | $154.88 | $251.19 | $346.74 |
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 $54.95 Median $54.95 Typical High $70.79 | Professional | 52 · Reduced service | $54.95 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $28.18 | Professional | 53 · Discontinued | $21.88 | $21.88 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $104.71 | Professional | 54 · Surgery only | $83.18 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $14.13 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $14.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $77.62 Typical High $97.72 | Professional | 78 · Unplanned return to OR | $77.62 | $77.62 | $97.72 |
Where Nebraska sits
The same service costs 4.1 times more in Alaska than in Kentucky. 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· 14th of 51
$195
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.