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 $223.87 Median $3,548.13 Typical High $11,481.54 | Facility | None | $223.87 | $3,548.13 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $588.84 | Professional | None | $169.82 | $223.87 | $588.84 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,570.88 Median $6,025.60 Typical High $12,302.69 | Facility | None | $4,570.88 | $6,025.60 | $12,302.69 |
BCBS Nebraska Setting Professional Modifier None Typical Low $151.36 Median $269.15 Typical High $363.08 | Professional | None | $151.36 | $269.15 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,137.96 Typical High $3,019.95 | Facility | None | $645.65 | $2,137.96 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $588.84 | Professional | None | $371.54 | $467.74 | $588.84 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $1,819.70 Typical High $7,943.28 | Facility | None | $436.52 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $457.09 Typical High $3,162.28 | Professional | None | $281.84 | $457.09 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $602.56 | Professional | None | $371.54 | $467.74 | $602.56 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $2,238.72 Typical High $3,235.94 | Facility | None | $645.65 | $2,238.72 | $3,235.94 |
Midlands Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $537.03 | Professional | None | $354.81 | $467.74 | $537.03 |
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 $257.04 Median $407.38 Typical High $549.54 | Professional | None | $257.04 | $407.38 | $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 $112.20 | Professional | 52 · Reduced service | $85.11 | $85.11 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $44.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $128.82 Typical High $169.82 | Professional | 54 · Surgery only | $128.82 | $128.82 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $33.88 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $22.39 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $22.39 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $120.23 Median $120.23 Typical High $158.49 | Professional | 78 · Unplanned return to OR | $120.23 | $120.23 | $158.49 |
Where Nebraska sits
The same service costs 4.4 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
$339
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.