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 $120.23 Median $3,801.89 Typical High $11,481.54 | Facility | None | $120.23 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $208.93 | Professional | None | $102.33 | $120.23 | $208.93 |
BCBS Nebraska Setting Facility Modifier None Typical Low $724.44 Median $977.24 Typical High $1,995.26 | Facility | None | $724.44 | $977.24 | $1,995.26 |
BCBS Nebraska Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $199.53 | Professional | None | $89.13 | $151.36 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $138.04 Typical High $162.18 | Facility | None | $109.65 | $138.04 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $309.03 | Professional | None | $194.98 | $239.88 | $309.03 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $223.87 Typical High $1,000.00 | Facility | None | $102.33 | $223.87 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $295.12 Typical High $954.99 | Professional | None | $141.25 | $295.12 | $954.99 |
Midlands Setting Professional Modifier None Typical Low $229.09 Median $263.03 Typical High $331.13 | Professional | None | $229.09 | $263.03 | $331.13 |
Midlands Setting Facility Modifier None Typical Low $109.65 Median $138.04 Typical High $169.82 | Facility | None | $109.65 | $138.04 | $169.82 |
Midlands Setting Professional Modifier None Typical Low $186.21 Median $331.13 Typical High $398.11 | Professional | None | $186.21 | $331.13 | $398.11 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $131.83 Median $223.87 Typical High $302.00 | Professional | None | $131.83 | $223.87 | $302.00 |
2 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 54 · Surgery only Typical Low $75.86 Median $89.13 Typical High $131.83 | Professional | 54 · Surgery only | $75.86 | $89.13 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $70.79 Median $83.18 Typical High $123.03 | Professional | 78 · Unplanned return to OR | $70.79 | $83.18 | $123.03 |
Where Nebraska sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 11th of 51
$182
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.