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 $239.88 Median $4,466.84 Typical High $11,481.54 | Facility | None | $239.88 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $239.88 Typical High $416.87 | Professional | None | $177.83 | $239.88 | $416.87 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,011.87 Median $6,760.83 Typical High $13,803.84 | Facility | None | $5,011.87 | $6,760.83 | $13,803.84 |
BCBS Nebraska Setting Professional Modifier None Typical Low $154.88 Median $275.42 Typical High $380.19 | Professional | None | $154.88 | $275.42 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $794.33 Typical High $1,023.29 | Facility | None | $588.84 | $794.33 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $616.60 | Professional | None | $371.54 | $457.09 | $616.60 |
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 $602.56 Typical High $1,905.46 | Professional | None | $295.12 | $602.56 | $1,905.46 |
Midlands Setting Professional Modifier None Typical Low $436.52 Median $537.03 Typical High $676.08 | Professional | None | $436.52 | $537.03 | $676.08 |
Midlands Setting Facility Modifier None Typical Low $602.56 Median $794.33 Typical High $1,023.29 | Facility | None | $602.56 | $794.33 | $1,023.29 |
Midlands Setting Professional Modifier None Typical Low $323.59 Median $602.56 Typical High $812.83 | Professional | None | $323.59 | $602.56 | $812.83 |
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 $251.19 Median $407.38 Typical High $602.56 | Professional | None | $251.19 | $407.38 | $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 $89.13 Median $120.23 Typical High $154.88 | Professional | 52 · Reduced service | $89.13 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $47.86 Typical High $61.66 | Professional | 53 · Discontinued | $35.48 | $47.86 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $177.83 Typical High $234.42 | Professional | 54 · Surgery only | $134.90 | $177.83 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $36.31 Typical High $46.77 | Professional | 55 · Aftercare only | $26.92 | $36.31 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $23.99 Typical High $30.90 | Professional | 56 · Pre-op care only | $17.78 | $23.99 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $165.96 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $125.89 | $165.96 | $218.78 |
Where Nebraska sits
The same service costs 4.3 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· 13th of 51
$347
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.