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 $1,659.59 Median $5,011.87 Typical High $11,481.54 | Facility | None | $1,659.59 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $1,318.26 | Professional | None | $436.52 | $436.52 | $1,318.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,090.30 Median $4,073.80 Typical High $8,317.64 | Facility | None | $3,090.30 | $4,073.80 | $8,317.64 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,513.56 | Professional | None | $1,348.96 | $1,412.54 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,445.44 Typical High $1,659.59 | Facility | None | $954.99 | $1,445.44 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,122.02 | Professional | None | $851.14 | $1,023.29 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $1,819.70 Typical High $5,248.07 | Facility | None | $954.99 | $1,819.70 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $1,096.48 Typical High $4,897.79 | Professional | None | $588.84 | $1,096.48 | $4,897.79 |
Midlands Setting Professional Modifier None Typical Low $851.14 Median $1,122.02 Typical High $1,412.54 | Professional | None | $851.14 | $1,122.02 | $1,412.54 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,479.11 Typical High $1,737.80 | Facility | None | $954.99 | $1,479.11 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,445.44 | Professional | None | $794.33 | $1,071.52 | $1,445.44 |
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 $588.84 Median $977.24 Typical High $1,288.25 | Professional | None | $588.84 | $977.24 | $1,288.25 |
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 $218.78 Median $218.78 Typical High $371.54 | Professional | 52 · Reduced service | $218.78 | $218.78 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $151.36 | Professional | 53 · Discontinued | $87.10 | $87.10 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $562.34 | Professional | 54 · Surgery only | $331.13 | $331.13 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $112.20 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $75.86 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $524.81 |
Where Nebraska sits
The same service costs 5.8 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· 4th of 51
$1,122
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.