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 $537.03 Median $537.03 Typical High $1,318.26 | Professional | None | $537.03 | $537.03 | $1,318.26 |
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 $794.33 Median $954.99 Typical High $1,513.56 | Facility | None | $794.33 | $954.99 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,380.38 | Professional | None | $1,071.52 | $1,258.93 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $251.19 Typical High $2,691.53 | Facility | None | $107.15 | $251.19 | $2,691.53 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,348.96 Typical High $4,265.80 | Professional | None | $724.44 | $1,348.96 | $4,265.80 |
Midlands Setting Professional Modifier None Typical Low $977.24 Median $1,348.96 Typical High $1,778.28 | Professional | None | $977.24 | $1,348.96 | $1,778.28 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $3,019.95 | Facility | None | $954.99 | $954.99 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,819.70 | Professional | None | $977.24 | $1,230.27 | $1,819.70 |
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 $724.44 Median $1,202.26 Typical High $1,621.81 | Professional | None | $724.44 | $1,202.26 | $1,621.81 |
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 $269.15 Median $269.15 Typical High $467.74 | Professional | 52 · Reduced service | $269.15 | $269.15 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $186.21 | Professional | 53 · Discontinued | $107.15 | $107.15 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $707.95 | Professional | 54 · Surgery only | $398.11 | $398.11 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $141.25 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $93.33 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $93.33 |
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
$1,230
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.