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 $245.47 Median $4,466.84 Typical High $11,481.54 | Facility | None | $245.47 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $245.47 Typical High $457.09 | Professional | None | $128.82 | $245.47 | $457.09 |
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 $112.20 Median $199.53 Typical High $275.42 | Professional | None | $112.20 | $199.53 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,023.29 | Facility | None | $630.96 | $831.76 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $575.44 Typical High $630.96 | Professional | None | $302.00 | $575.44 | $630.96 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $1,096.48 Typical High $3,019.95 | Facility | None | $478.63 | $1,096.48 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $1,023.29 Typical High $2,884.03 | Professional | None | $457.09 | $1,023.29 | $2,884.03 |
Midlands Setting Professional Modifier None Typical Low $316.23 Median $616.60 Typical High $676.08 | Professional | None | $316.23 | $616.60 | $676.08 |
Midlands Setting Facility Modifier None Typical Low $630.96 Median $870.96 Typical High $1,023.29 | Facility | None | $630.96 | $870.96 | $1,023.29 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $588.84 Typical High $676.08 | Professional | None | $269.15 | $588.84 | $676.08 |
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 $218.78 Median $380.19 Typical High $660.69 | Professional | None | $218.78 | $380.19 | $660.69 |
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 $64.57 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $64.57 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $25.70 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $186.21 Typical High $186.21 | Professional | 54 · Surgery only | $95.50 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $19.50 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $12.88 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $89.13 Median $173.78 Typical High $173.78 | Professional | 78 · Unplanned return to OR | $89.13 | $173.78 | $173.78 |
Where Nebraska sits
The same service costs 4.7 times more in Alaska than in Virginia. 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· 23rd of 51
$282
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.