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 $1,862.09 Median $7,585.78 Typical High $19,952.62 | Facility | None | $1,862.09 | $7,585.78 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $1,445.44 Typical High $1,862.09 | Professional | None | $416.87 | $1,445.44 | $1,862.09 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,128.61 Median $6,918.31 Typical High $13,803.84 | Facility | None | $5,128.61 | $6,918.31 | $13,803.84 |
BCBS Nebraska Setting Professional Modifier None Typical Low $363.08 Median $645.65 Typical High $870.96 | Professional | None | $363.08 | $645.65 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $4,466.84 Typical High $6,309.57 | Facility | None | $2,754.23 | $4,466.84 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $4,466.84 Typical High $5,623.41 | Professional | None | $977.24 | $4,466.84 | $5,623.41 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,951.21 Typical High $7,413.10 | Facility | None | $1,202.26 | $2,951.21 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $3,981.07 Median $7,762.47 Typical High $15,488.17 | Professional | None | $3,981.07 | $7,762.47 | $15,488.17 |
Midlands Setting Professional Modifier None Typical Low $1,023.29 Median $5,248.07 Typical High $5,623.41 | Professional | None | $1,023.29 | $5,248.07 | $5,623.41 |
Midlands Setting Facility Modifier None Typical Low $2,884.03 Median $5,248.07 Typical High $8,511.38 | Facility | None | $2,884.03 | $5,248.07 | $8,511.38 |
Midlands Setting Professional Modifier None Typical Low $870.96 Median $4,466.84 Typical High $5,248.07 | Professional | None | $870.96 | $4,466.84 | $5,248.07 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $6,606.93 | Facility | None | $1,380.38 | $3,019.95 | $6,606.93 |
United Setting Professional Modifier None Typical Low $758.58 Median $3,311.31 Typical High $5,754.40 | Professional | None | $758.58 | $3,311.31 | $5,754.40 |
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 $208.93 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $208.93 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $83.18 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $1,412.54 Typical High $1,412.54 | Professional | 54 · Surgery only | $309.03 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $61.66 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $41.69 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $1,318.26 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $288.40 | $1,318.26 | $1,318.26 |
Where Nebraska sits
The same service costs 9.8 times more in Alaska than in Kentucky. 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· 41st of 51
$912
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.