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 $173.78 Median $3,801.89 Typical High $11,481.54 | Facility | None | $173.78 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $1,071.52 | Professional | None | $147.91 | $173.78 | $1,071.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,630.78 Median $4,786.30 Typical High $9,772.37 | Facility | None | $3,630.78 | $4,786.30 | $9,772.37 |
BCBS Nebraska Setting Professional Modifier None Typical Low $128.82 Median $229.09 Typical High $316.23 | Professional | None | $128.82 | $229.09 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $933.25 Typical High $1,174.90 | Facility | None | $645.65 | $933.25 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $478.63 | Professional | None | $323.59 | $380.19 | $478.63 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $1,122.02 Typical High $3,715.35 | Facility | None | $331.13 | $1,122.02 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $389.05 Typical High $1,380.38 | Professional | None | $213.80 | $389.05 | $1,380.38 |
Midlands Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $478.63 | Professional | None | $346.74 | $389.05 | $478.63 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $977.24 Typical High $1,230.27 | Facility | None | $645.65 | $977.24 | $1,230.27 |
Midlands Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $416.87 | Professional | None | $309.03 | $363.08 | $416.87 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $194.98 Median $354.81 Typical High $426.58 | Professional | None | $194.98 | $354.81 | $426.58 |
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 $74.13 Median $74.13 Typical High $85.11 | Professional | 52 · Reduced service | $74.13 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | 53 · Discontinued | $29.51 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $109.65 Typical High $128.82 | Professional | 54 · Surgery only | $109.65 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | 55 · Aftercare only | $21.88 | $21.88 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $17.38 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $17.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | 78 · Unplanned return to OR | $102.33 | $102.33 | $120.23 |
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· 15th of 51
$288
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.