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 $120.23 Median $3,801.89 Typical High $11,481.54 | Facility | None | $120.23 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $316.23 | Professional | None | $95.50 | $120.23 | $316.23 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $3,388.44 | Facility | None | $1,258.93 | $1,659.59 | $3,388.44 |
BCBS Nebraska Setting Professional Modifier None Typical Low $83.18 Median $144.54 Typical High $190.55 | Professional | None | $83.18 | $144.54 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $134.90 Typical High $151.36 | Facility | None | $109.65 | $134.90 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $309.03 | Professional | None | $229.09 | $288.40 | $309.03 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $245.47 Typical High $2,951.21 | Facility | None | $107.15 | $245.47 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $758.58 Typical High $954.99 | Professional | None | $218.78 | $758.58 | $954.99 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $331.13 | Professional | None | $239.88 | $295.12 | $331.13 |
Midlands Setting Facility Modifier None Typical Low $109.65 Median $134.90 Typical High $165.96 | Facility | None | $109.65 | $134.90 | $165.96 |
Midlands Setting Professional Modifier None Typical Low $199.53 Median $295.12 Typical High $331.13 | Professional | None | $199.53 | $295.12 | $331.13 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $147.91 Median $245.47 Typical High $316.23 | Professional | None | $147.91 | $245.47 | $316.23 |
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 $47.86 Median $60.26 Typical High $91.20 | Professional | 52 · Reduced service | $47.86 | $60.26 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $23.99 Typical High $36.31 | Professional | 53 · Discontinued | $19.05 | $23.99 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $91.20 Typical High $134.90 | Professional | 54 · Surgery only | $72.44 | $91.20 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $18.20 Typical High $26.92 | Professional | 55 · Aftercare only | $14.45 | $18.20 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $12.02 Typical High $18.20 | Professional | 56 · Pre-op care only | $9.55 | $12.02 | $18.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $85.11 Typical High $125.89 | Professional | 78 · Unplanned return to OR | $67.61 | $85.11 | $125.89 |
Where Nebraska sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 13th of 51
$186
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.