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 $407.38 Median $3,801.89 Typical High $11,481.54 | Facility | None | $407.38 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $1,071.52 | Professional | None | $316.23 | $407.38 | $1,071.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $3,162.28 | Facility | None | $1,174.90 | $1,548.82 | $3,162.28 |
BCBS Nebraska Setting Professional Modifier None Typical Low $281.84 Median $478.63 Typical High $630.96 | Professional | None | $281.84 | $478.63 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $478.63 Typical High $524.81 | Facility | None | $371.54 | $478.63 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $1,047.13 | Professional | None | $758.58 | $933.25 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $1,819.70 Typical High $3,890.45 | Facility | None | $602.56 | $1,819.70 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $2,570.40 Typical High $3,235.94 | Professional | None | $707.95 | $2,570.40 | $3,235.94 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,122.02 | Professional | None | $794.33 | $933.25 | $1,122.02 |
Midlands Setting Facility Modifier None Typical Low $371.54 Median $478.63 Typical High $549.54 | Facility | None | $371.54 | $478.63 | $549.54 |
Midlands Setting Professional Modifier None Typical Low $660.69 Median $977.24 Typical High $1,122.02 | Professional | None | $660.69 | $977.24 | $1,122.02 |
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 $478.63 Median $794.33 Typical High $1,071.52 | Professional | None | $478.63 | $794.33 | $1,071.52 |
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 $158.49 Median $204.17 Typical High $302.00 | Professional | 52 · Reduced service | $158.49 | $204.17 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $81.28 Typical High $120.23 | Professional | 53 · Discontinued | $64.57 | $81.28 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $302.00 Typical High $446.68 | Professional | 54 · Surgery only | $239.88 | $302.00 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $60.26 Typical High $91.20 | Professional | 55 · Aftercare only | $47.86 | $60.26 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $40.74 Typical High $60.26 | Professional | 56 · Pre-op care only | $32.36 | $40.74 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $281.84 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $223.87 | $281.84 | $416.87 |
Where Nebraska sits
The same service costs 5.0 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· 12th of 51
$617
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.