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 $288.40 Median $7,244.36 Typical High $17,378.01 | Facility | None | $288.40 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $288.40 Typical High $537.03 | Professional | None | $186.21 | $288.40 | $537.03 |
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 $165.96 Median $288.40 Typical High $371.54 | Professional | None | $165.96 | $288.40 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $407.38 Typical High $446.68 | Facility | None | $331.13 | $407.38 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $676.08 Typical High $741.31 | Professional | None | $436.52 | $676.08 | $741.31 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $1,737.80 Typical High $3,890.45 | Facility | None | $346.74 | $1,737.80 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $1,479.11 Typical High $3,235.94 | Professional | None | $512.86 | $1,479.11 | $3,235.94 |
Midlands Setting Professional Modifier None Typical Low $457.09 Median $691.83 Typical High $794.33 | Professional | None | $457.09 | $691.83 | $794.33 |
Midlands Setting Facility Modifier None Typical Low $331.13 Median $407.38 Typical High $478.63 | Facility | None | $331.13 | $407.38 | $478.63 |
Midlands Setting Professional Modifier None Typical Low $389.05 Median $676.08 Typical High $794.33 | Professional | None | $389.05 | $676.08 | $794.33 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,174.90 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $302.00 Median $489.78 Typical High $776.25 | Professional | None | $302.00 | $489.78 | $776.25 |
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 $93.33 Median $144.54 Typical High $173.78 | Professional | 52 · Reduced service | $93.33 | $144.54 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $57.54 Typical High $69.18 | Professional | 53 · Discontinued | $37.15 | $57.54 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $213.80 Typical High $263.03 | Professional | 54 · Surgery only | $138.04 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $42.66 Typical High $52.48 | Professional | 55 · Aftercare only | $27.54 | $42.66 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $28.84 Typical High $34.67 | Professional | 56 · Pre-op care only | $18.62 | $28.84 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $199.53 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $128.82 | $199.53 | $245.47 |
Where Nebraska sits
The same service costs 4.3 times more in Wyoming 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· 18th of 51
$380
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.