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 $3,801.89 Typical High $11,481.54 | Facility | None | $223.87 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $223.87 Typical High $380.19 | Professional | None | $147.91 | $223.87 | $380.19 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $4,168.69 | Facility | None | $1,548.82 | $2,041.74 | $4,168.69 |
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 $602.56 Median $724.44 Typical High $1,412.54 | Facility | None | $602.56 | $724.44 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $575.44 | Professional | None | $316.23 | $478.63 | $575.44 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $724.44 Typical High $2,691.53 | Facility | None | $398.11 | $724.44 | $2,691.53 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $575.44 Typical High $1,778.28 | Professional | None | $295.12 | $575.44 | $1,778.28 |
Midlands Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $616.60 | Professional | None | $371.54 | $501.19 | $616.60 |
Midlands Setting Facility Modifier None Typical Low $616.60 Median $758.58 Typical High $1,412.54 | Facility | None | $616.60 | $758.58 | $1,412.54 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $501.19 Typical High $741.31 | Professional | None | $269.15 | $501.19 | $741.31 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,754.23 | Facility | None | $467.74 | $851.14 | $2,754.23 |
United Setting Professional Modifier None Typical Low $213.80 Median $363.08 Typical High $602.56 | Professional | None | $213.80 | $363.08 | $602.56 |
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 $112.20 Typical High $128.82 | Professional | 52 · Reduced service | $74.13 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $44.67 Typical High $51.29 | Professional | 53 · Discontinued | $29.51 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $169.82 Typical High $190.55 | Professional | 54 · Surgery only | $112.20 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $33.88 Typical High $38.02 | Professional | 55 · Aftercare only | $22.39 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $22.39 Typical High $25.70 | Professional | 56 · Pre-op care only | $14.79 | $22.39 | $25.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $158.49 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $104.71 | $158.49 | $177.83 |
Where Nebraska sits
The same service costs 4.2 times more in Alaska than in Virginia. 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
$295
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.