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 $218.78 Median $3,801.89 Typical High $11,481.54 | Facility | None | $218.78 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $218.78 Typical High $407.38 | Professional | None | $91.20 | $218.78 | $407.38 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,677.35 Median $6,309.57 Typical High $12,589.25 | Facility | None | $4,677.35 | $6,309.57 | $12,589.25 |
BCBS Nebraska Setting Professional Modifier None Typical Low $81.28 Median $141.25 Typical High $194.98 | Professional | None | $81.28 | $141.25 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $338.84 Typical High $380.19 | Facility | None | $275.42 | $338.84 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $512.86 Typical High $562.34 | Professional | None | $213.80 | $512.86 | $562.34 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $1,071.52 Typical High $3,019.95 | Facility | None | $245.47 | $1,071.52 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $891.25 Typical High $1,949.84 | Professional | None | $398.11 | $891.25 | $1,949.84 |
Midlands Setting Professional Modifier None Typical Low $223.87 Median $524.81 Typical High $602.56 | Professional | None | $223.87 | $524.81 | $602.56 |
Midlands Setting Facility Modifier None Typical Low $275.42 Median $346.74 Typical High $407.38 | Facility | None | $275.42 | $346.74 | $407.38 |
Midlands Setting Professional Modifier None Typical Low $190.55 Median $524.81 Typical High $602.56 | Professional | None | $190.55 | $524.81 | $602.56 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,348.96 Typical High $3,162.28 | Facility | None | $707.95 | $1,348.96 | $3,162.28 |
United Setting Professional Modifier None Typical Low $165.96 Median $331.13 Typical High $602.56 | Professional | None | $165.96 | $331.13 | $602.56 |
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 $45.71 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $45.71 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $18.20 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $162.18 Typical High $162.18 | Professional | 54 · Surgery only | $69.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $13.80 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $9.12 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $64.57 Median $151.36 Typical High $151.36 | Professional | 78 · Unplanned return to OR | $64.57 | $151.36 | $151.36 |
Where Nebraska sits
The same service costs 5.6 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· 36th of 51
$209
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.