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 $218.78 Median $3,801.89 Typical High $11,481.54 | Facility | None | $218.78 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $218.78 Typical High $478.63 | Professional | None | $169.82 | $218.78 | $478.63 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,623.41 Median $7,585.78 Typical High $15,488.17 | Facility | None | $5,623.41 | $7,585.78 | $15,488.17 |
BCBS Nebraska Setting Professional Modifier None Typical Low $141.25 Median $251.19 Typical High $346.74 | Professional | None | $141.25 | $251.19 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,479.11 Typical High $1,995.26 | Facility | None | $645.65 | $1,479.11 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $549.54 | Professional | None | $389.05 | $457.09 | $549.54 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $1,122.02 Typical High $5,623.41 | Facility | None | $389.05 | $1,122.02 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $457.09 Typical High $2,344.23 | Professional | None | $288.40 | $457.09 | $2,344.23 |
Midlands Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $562.34 | Professional | None | $398.11 | $501.19 | $562.34 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $1,513.56 Typical High $2,089.30 | Facility | None | $645.65 | $1,513.56 | $2,089.30 |
Midlands Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $501.19 | Professional | None | $338.84 | $436.52 | $501.19 |
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 $245.47 Median $389.05 Typical High $549.54 | Professional | None | $245.47 | $389.05 | $549.54 |
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 $85.11 Median $85.11 Typical High $107.15 | Professional | 52 · Reduced service | $85.11 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $43.65 | Professional | 53 · Discontinued | $33.88 | $33.88 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $162.18 | Professional | 54 · Surgery only | $125.89 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $32.36 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $21.88 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $21.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $117.49 Typical High $151.36 | Professional | 78 · Unplanned return to OR | $117.49 | $117.49 | $151.36 |
Where Nebraska sits
The same service costs 4.6 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· 16th of 51
$324
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.