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 $436.52 Median $7,244.36 Typical High $17,378.01 | Facility | None | $436.52 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $812.83 | Professional | None | $295.12 | $436.52 | $812.83 |
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 $257.04 Median $457.09 Typical High $616.60 | Professional | None | $257.04 | $457.09 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $1,905.46 | Facility | None | $1,096.48 | $1,548.82 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,023.29 Typical High $1,122.02 | Professional | None | $691.83 | $1,023.29 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,819.70 Typical High $5,754.40 | Facility | None | $851.14 | $1,819.70 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $2,344.23 Typical High $3,548.13 | Professional | None | $794.33 | $2,344.23 | $3,548.13 |
Midlands Setting Professional Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,202.26 | Professional | None | $724.44 | $1,071.52 | $1,202.26 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $1,584.89 Typical High $1,995.26 | Facility | None | $1,096.48 | $1,584.89 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $616.60 Median $1,047.13 Typical High $1,202.26 | Professional | None | $616.60 | $1,047.13 | $1,202.26 |
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 $467.74 Median $758.58 Typical High $1,174.90 | Professional | None | $467.74 | $758.58 | $1,174.90 |
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 $144.54 Median $218.78 Typical High $275.42 | Professional | 52 · Reduced service | $144.54 | $218.78 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $87.10 Typical High $109.65 | Professional | 53 · Discontinued | $58.88 | $87.10 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $331.13 Typical High $407.38 | Professional | 54 · Surgery only | $218.78 | $331.13 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $66.07 Typical High $83.18 | Professional | 55 · Aftercare only | $43.65 | $66.07 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $43.65 Typical High $54.95 | Professional | 56 · Pre-op care only | $29.51 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $309.03 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $204.17 | $309.03 | $380.19 |
Where Nebraska sits
The same service costs 5.9 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· 11th of 51
$646
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.