How much rates vary
Facilitymedian $1,862 · 10th to 90th $955 to $7,413Professionalmedian $407 · 10th to 90th $224 to $832
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 $316.23 Median $4,365.16 Typical High $11,481.54 | Facility | None | $316.23 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $457.09 Typical High $831.76 | Professional | None | $223.87 | $457.09 | $831.76 |
Ambetter Setting Professional Modifier None Typical Low $302.00 Median $501.19 Typical High $660.69 | Professional | None | $302.00 | $501.19 | $660.69 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,128.61 Median $6,760.83 Typical High $13,803.84 | Facility | None | $5,128.61 | $6,760.83 | $13,803.84 |
BCBS Nebraska Setting Professional Modifier None Typical Low $190.55 Median $331.13 Typical High $457.09 | Professional | None | $190.55 | $331.13 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,513.56 Typical High $1,949.84 | Facility | None | $954.99 | $1,513.56 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $851.14 | Professional | None | $512.86 | $676.08 | $851.14 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,819.70 Typical High $5,495.41 | Facility | None | $794.33 | $1,819.70 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $794.33 Typical High $3,019.95 | Professional | None | $478.63 | $794.33 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $870.96 | Professional | None | $524.81 | $707.95 | $870.96 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,584.89 Typical High $2,187.76 | Facility | None | $954.99 | $1,584.89 | $2,187.76 |
Midlands Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $741.31 | Professional | None | $446.68 | $645.65 | $741.31 |
Oscar Health Setting Facility Modifier None Typical Low $1,122.02 Median $2,041.74 Typical High $7,079.46 | Facility | None | $1,122.02 | $2,041.74 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,174.90 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $323.59 Median $537.03 Typical High $891.25 | Professional | None | $323.59 | $537.03 | $891.25 |
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 $112.20 Median $112.20 Typical High $158.49 | Professional | 52 · Reduced service | $112.20 | $112.20 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $63.10 | Professional | 53 · Discontinued | $44.67 | $44.67 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $165.96 Typical High $239.88 | Professional | 54 · Surgery only | $165.96 | $165.96 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $47.86 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $31.62 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $154.88 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $154.88 | $154.88 | $223.87 |
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· 22nd of 51
$457
AK $1,259UT $275
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.