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 $1,548.82 Median $4,365.16 Typical High $11,481.54 | Facility | None | $1,548.82 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $954.99 | Professional | None | $331.13 | $331.13 | $954.99 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,918.31 Median $9,332.54 Typical High $18,620.87 | Facility | None | $6,918.31 | $9,332.54 | $18,620.87 |
BCBS Nebraska Setting Professional Modifier None Typical Low $5,248.07 Median $8,128.31 Typical High $10,715.19 | Professional | None | $5,248.07 | $8,128.31 | $10,715.19 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $645.65 Typical High $1,122.02 | Facility | None | $602.56 | $645.65 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $851.14 | Professional | None | $630.96 | $776.25 | $851.14 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $251.19 Typical High $2,630.27 | Facility | None | $107.15 | $251.19 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $831.76 Typical High $2,630.27 | Professional | None | $446.68 | $831.76 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,096.48 | Professional | None | $602.56 | $831.76 | $1,096.48 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $3,019.95 | Facility | None | $645.65 | $645.65 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $1,122.02 | Professional | None | $588.84 | $758.58 | $1,122.02 |
United Setting Facility Modifier None Typical Low $104.71 Median $234.42 Typical High $1,288.25 | Facility | None | $104.71 | $234.42 | $1,288.25 |
United Setting Professional Modifier None Typical Low $446.68 Median $741.31 Typical High $1,000.00 | Professional | None | $446.68 | $741.31 | $1,000.00 |
5 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 $165.96 Median $165.96 Typical High $288.40 | Professional | 52 · Reduced service | $165.96 | $165.96 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $114.82 | Professional | 53 · Discontinued | $66.07 | $66.07 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $436.52 | Professional | 54 · Surgery only | $245.47 | $245.47 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $87.10 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $57.54 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $57.54 |
Where Nebraska sits
The same service costs 4.9 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
$794
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.