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 $1,258.93 Median $1,258.93 Typical High $2,187.76 | Professional | None | $1,258.93 | $1,258.93 | $2,187.76 |
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 $2,398.83 Median $2,951.21 Typical High $3,235.94 | Professional | None | $2,398.83 | $2,951.21 | $3,235.94 |
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 $1,659.59 Median $3,162.28 Typical High $10,715.19 | Professional | None | $1,659.59 | $3,162.28 | $10,715.19 |
Midlands Setting Professional Modifier None Typical Low $2,398.83 Median $3,090.30 Typical High $4,073.80 | Professional | None | $2,398.83 | $3,090.30 | $4,073.80 |
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 $2,290.87 Median $3,019.95 Typical High $4,265.80 | Professional | None | $2,290.87 | $3,019.95 | $4,265.80 |
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 $1,659.59 Median $2,754.23 Typical High $3,801.89 | Professional | None | $1,659.59 | $2,754.23 | $3,801.89 |
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 $630.96 Median $630.96 Typical High $1,096.48 | Professional | 52 · Reduced service | $630.96 | $630.96 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $436.52 | Professional | 53 · Discontinued | $251.19 | $251.19 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $1,659.59 | Professional | 54 · Surgery only | $954.99 | $954.99 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $331.13 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $218.78 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $1,548.82 |
Where Nebraska sits
The same service costs 7.2 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
$3,090
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.