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 $363.08 Median $4,466.84 Typical High $11,481.54 | Facility | None | $363.08 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $954.99 | Professional | None | $331.13 | $363.08 | $954.99 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,265.80 Median $5,623.41 Typical High $11,481.54 | Facility | None | $4,265.80 | $5,623.41 | $11,481.54 |
BCBS Nebraska Setting Professional Modifier None Typical Low $288.40 Median $501.19 Typical High $660.69 | Professional | None | $288.40 | $501.19 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $954.99 | Facility | None | $380.19 | $501.19 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $1,047.13 | Professional | None | $776.25 | $851.14 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $707.95 Typical High $2,884.03 | Facility | None | $446.68 | $707.95 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $2,630.27 Typical High $2,884.03 | Professional | None | $660.69 | $2,630.27 | $2,884.03 |
Midlands Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,071.52 | Professional | None | $831.76 | $912.01 | $1,071.52 |
Midlands Setting Facility Modifier None Typical Low $398.11 Median $512.86 Typical High $954.99 | Facility | None | $398.11 | $512.86 | $954.99 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,096.48 | Professional | None | $691.83 | $870.96 | $1,096.48 |
United Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $2,754.23 | Facility | None | $467.74 | $741.31 | $2,754.23 |
United Setting Professional Modifier None Typical Low $501.19 Median $794.33 Typical High $1,000.00 | Professional | None | $501.19 | $794.33 | $1,000.00 |
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 $165.96 Median $181.97 Typical High $309.03 | Professional | 52 · Reduced service | $165.96 | $181.97 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $72.44 Typical High $123.03 | Professional | 53 · Discontinued | $66.07 | $72.44 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $269.15 Typical High $467.74 | Professional | 54 · Surgery only | $245.47 | $269.15 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $53.70 Typical High $93.33 | Professional | 55 · Aftercare only | $48.98 | $53.70 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $36.31 Typical High $61.66 | Professional | 56 · Pre-op care only | $33.11 | $36.31 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $251.19 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $229.09 | $251.19 | $436.52 |
Where Nebraska sits
The same service costs 5.6 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· 10th of 51
$631
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.