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 $380.19 Median $7,943.28 Typical High $13,182.57 | Facility | None | $380.19 | $7,943.28 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $741.31 Typical High $1,000.00 | Professional | None | $331.13 | $741.31 | $1,000.00 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,548.13 Median $4,677.35 Typical High $9,549.93 | Facility | None | $3,548.13 | $4,677.35 | $9,549.93 |
BCBS Nebraska Setting Professional Modifier None Typical Low $295.12 Median $524.81 Typical High $707.95 | Professional | None | $295.12 | $524.81 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $3,019.95 | Facility | None | $1,380.38 | $2,137.96 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $870.96 Typical High $1,047.13 | Professional | None | $776.25 | $870.96 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $1,819.70 Typical High $7,943.28 | Facility | None | $741.31 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $870.96 Typical High $3,162.28 | Professional | None | $467.74 | $870.96 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $870.96 Typical High $1,148.15 | Professional | None | $794.33 | $870.96 | $1,148.15 |
Midlands Setting Facility Modifier None Typical Low $1,380.38 Median $2,238.72 Typical High $3,235.94 | Facility | None | $1,380.38 | $2,238.72 | $3,235.94 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $794.33 Typical High $912.01 | Professional | None | $691.83 | $794.33 | $912.01 |
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 $446.68 Median $794.33 Typical High $977.24 | Professional | None | $446.68 | $794.33 | $977.24 |
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 $165.96 Median $165.96 Typical High $190.55 | Professional | 52 · Reduced service | $165.96 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $75.86 | Professional | 53 · Discontinued | $66.07 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $288.40 | Professional | 54 · Surgery only | $251.19 | $251.19 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $57.54 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $38.02 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $234.42 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $234.42 | $234.42 | $269.15 |
Where Nebraska sits
The same service costs 4.3 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· 10th of 51
$676
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.