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 $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $2,137.96 | Professional | None | $1,230.27 | $1,230.27 | $2,137.96 |
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 $4,466.84 Median $4,786.30 Typical High $5,128.61 | Professional | None | $4,466.84 | $4,786.30 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $3,548.13 Typical High $7,244.36 | Facility | None | $1,096.48 | $3,548.13 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $3,090.30 | Professional | None | $2,290.87 | $2,884.03 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $17,378.01 | Facility | None | $1,318.26 | $2,951.21 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $3,019.95 Typical High $9,772.37 | Professional | None | $1,621.81 | $3,019.95 | $9,772.37 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $3,981.07 | Professional | None | $2,290.87 | $3,019.95 | $3,981.07 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $3,981.07 Typical High $7,762.47 | Facility | None | $1,096.48 | $3,981.07 | $7,762.47 |
Midlands Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $4,073.80 | Professional | None | $2,187.76 | $2,884.03 | $4,073.80 |
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 $1,621.81 Median $2,630.27 Typical High $3,630.78 | Professional | None | $1,621.81 | $2,630.27 | $3,630.78 |
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 $602.56 Median $602.56 Typical High $1,071.52 | Professional | 52 · Reduced service | $602.56 | $602.56 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $426.58 | Professional | 53 · Discontinued | $245.47 | $245.47 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $1,584.89 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $316.23 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $213.80 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $1,479.11 |
Where Nebraska sits
The same service costs 11.0 times more in Alaska than in Texas. 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
$3,020
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.