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 $977.24 Median $977.24 Typical High $1,698.24 | Professional | None | $977.24 | $977.24 | $1,698.24 |
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 $6,606.93 Median $7,079.46 Typical High $7,762.47 | Professional | None | $6,606.93 | $7,079.46 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $3,548.13 Typical High $11,481.54 | Facility | None | $954.99 | $3,548.13 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $2,454.71 | Professional | None | $1,862.09 | $2,290.87 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $16,218.10 | Facility | None | $1,318.26 | $2,951.21 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,398.83 Typical High $7,762.47 | Professional | None | $1,258.93 | $2,398.83 | $7,762.47 |
Midlands Setting Professional Modifier None Typical Low $1,862.09 Median $2,398.83 Typical High $3,162.28 | Professional | None | $1,862.09 | $2,398.83 | $3,162.28 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $3,981.07 Typical High $12,302.69 | Facility | None | $954.99 | $3,981.07 | $12,302.69 |
Midlands Setting Professional Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $3,235.94 | Professional | None | $1,778.28 | $2,344.23 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $8,912.51 | Facility | None | $1,380.38 | $3,019.95 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $2,089.30 Typical High $2,884.03 | Professional | None | $1,258.93 | $2,089.30 | $2,884.03 |
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 $489.78 Median $489.78 Typical High $851.14 | Professional | 52 · Reduced service | $489.78 | $489.78 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $338.84 | Professional | 53 · Discontinued | $194.98 | $194.98 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $1,258.93 | Professional | 54 · Surgery only | $724.44 | $724.44 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $251.19 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $169.82 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $1,174.90 |
Where Nebraska sits
The same service costs 6.2 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
$2,399
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.