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 $416.87 Median $7,585.78 Typical High $12,589.25 | Facility | None | $416.87 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $416.87 Typical High $741.31 | Professional | None | $275.42 | $416.87 | $741.31 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,897.79 Median $6,606.93 Typical High $13,182.57 | Facility | None | $4,897.79 | $6,606.93 | $13,182.57 |
BCBS Nebraska Setting Professional Modifier None Typical Low $239.88 Median $426.58 Typical High $588.84 | Professional | None | $239.88 | $426.58 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $1,949.84 | Facility | None | $1,258.93 | $1,621.81 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $1,071.52 | Professional | None | $645.65 | $977.24 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $1,819.70 Typical High $5,754.40 | Facility | None | $512.86 | $1,819.70 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $2,187.76 Typical High $3,388.44 | Professional | None | $776.25 | $2,187.76 | $3,388.44 |
Midlands Setting Professional Modifier None Typical Low $676.08 Median $1,047.13 Typical High $1,148.15 | Professional | None | $676.08 | $1,047.13 | $1,148.15 |
Midlands Setting Facility Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $2,187.76 | Facility | None | $1,318.26 | $1,659.59 | $2,187.76 |
Midlands Setting Professional Modifier None Typical Low $575.44 Median $1,000.00 Typical High $1,148.15 | Professional | None | $575.44 | $1,000.00 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,174.90 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $446.68 Median $724.44 Typical High $1,122.02 | Professional | None | $446.68 | $724.44 | $1,122.02 |
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 $138.04 Median $208.93 Typical High $257.04 | Professional | 52 · Reduced service | $138.04 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $83.18 Typical High $102.33 | Professional | 53 · Discontinued | $54.95 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $316.23 Typical High $389.05 | Professional | 54 · Surgery only | $208.93 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $63.10 Typical High $77.62 | Professional | 55 · Aftercare only | $41.69 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $41.69 Typical High $51.29 | Professional | 56 · Pre-op care only | $27.54 | $41.69 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $295.12 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $194.98 | $295.12 | $363.08 |
Where Nebraska sits
The same service costs 5.5 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· 14th of 51
$589
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.