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 $2,344.23 Typical High $10,964.78 | Facility | None | $223.87 | $2,344.23 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $199.53 | Professional | None | $104.71 | $151.36 | $199.53 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,888.44 Median $7,762.47 Typical High $15,848.93 | Facility | None | $5,888.44 | $7,762.47 | $15,848.93 |
BCBS Nebraska Setting Professional Modifier None Typical Low $91.20 Median $154.88 Typical High $208.93 | Professional | None | $91.20 | $154.88 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $123.03 Typical High $162.18 | Facility | None | $93.33 | $123.03 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $389.05 | Professional | None | $245.47 | $316.23 | $389.05 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $1,737.80 Typical High $4,265.80 | Facility | None | $194.98 | $1,737.80 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $316.23 Typical High $1,258.93 | Professional | None | $190.55 | $316.23 | $1,258.93 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $398.11 | Professional | None | $251.19 | $316.23 | $398.11 |
Midlands Setting Facility Modifier None Typical Low $93.33 Median $138.04 Typical High $169.82 | Facility | None | $93.33 | $138.04 | $169.82 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $316.23 Typical High $363.08 | Professional | None | $213.80 | $316.23 | $363.08 |
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 $162.18 Median $251.19 Typical High $371.54 | Professional | None | $162.18 | $251.19 | $371.54 |
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 $52.48 Median $52.48 Typical High $75.86 | Professional | 52 · Reduced service | $52.48 | $52.48 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $30.20 | Professional | 53 · Discontinued | $20.89 | $20.89 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $77.62 Typical High $114.82 | Professional | 54 · Surgery only | $77.62 | $77.62 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.49 Typical High $22.91 | Professional | 55 · Aftercare only | $15.49 | $15.49 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $15.14 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $15.14 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $72.44 Median $72.44 Typical High $107.15 | Professional | 78 · Unplanned return to OR | $72.44 | $72.44 | $107.15 |
Where Nebraska sits
The same service costs 3.6 times more in Wisconsin 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· 21st 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.