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 $147.91 Median $3,801.89 Typical High $11,481.54 | Facility | None | $147.91 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $275.42 | Professional | None | $141.25 | $147.91 | $275.42 |
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 $123.03 Median $208.93 Typical High $281.84 | Professional | None | $123.03 | $208.93 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $154.88 Typical High $177.83 | Facility | None | $125.89 | $154.88 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $446.68 | Professional | None | $331.13 | $354.81 | $446.68 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $1,659.59 Typical High $3,890.45 | Facility | None | $263.03 | $1,659.59 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $1,122.02 Typical High $2,187.76 | Professional | None | $269.15 | $1,122.02 | $2,187.76 |
Midlands Setting Professional Modifier None Typical Low $346.74 Median $363.08 Typical High $446.68 | Professional | None | $346.74 | $363.08 | $446.68 |
Midlands Setting Facility Modifier None Typical Low $125.89 Median $154.88 Typical High $190.55 | Facility | None | $125.89 | $154.88 | $190.55 |
Midlands Setting Professional Modifier None Typical Low $288.40 Median $363.08 Typical High $457.09 | Professional | None | $288.40 | $363.08 | $457.09 |
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 $213.80 Median $331.13 Typical High $416.87 | Professional | None | $213.80 | $331.13 | $416.87 |
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 $70.79 Median $74.13 Typical High $131.83 | Professional | 52 · Reduced service | $70.79 | $74.13 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $52.48 | Professional | 53 · Discontinued | $28.18 | $29.51 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $112.20 Typical High $199.53 | Professional | 54 · Surgery only | $104.71 | $112.20 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $22.39 Typical High $39.81 | Professional | 55 · Aftercare only | $20.89 | $22.39 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.79 Typical High $26.30 | Professional | 56 · Pre-op care only | $14.13 | $14.79 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $104.71 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $97.72 | $104.71 | $186.21 |
Where Nebraska sits
The same service costs 4.6 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· 11th of 51
$269
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.