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 $89.13 Median $7,585.78 Typical High $12,589.25 | Facility | None | $89.13 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $234.42 | Professional | None | $74.13 | $89.13 | $234.42 |
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 $66.07 Median $117.49 Typical High $154.88 | Professional | None | $66.07 | $117.49 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $79.43 | Facility | None | $64.57 | $64.57 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $239.88 | Professional | None | $177.83 | $208.93 | $239.88 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $1,288.25 | Facility | None | $97.72 | $234.42 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $588.84 Typical High $1,047.13 | Professional | None | $169.82 | $588.84 | $1,047.13 |
Midlands Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $239.88 | Professional | None | $181.97 | $208.93 | $239.88 |
Midlands Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $79.43 | Facility | None | $64.57 | $64.57 | $79.43 |
Midlands Setting Professional Modifier None Typical Low $154.88 Median $218.78 Typical High $245.47 | Professional | None | $154.88 | $218.78 | $245.47 |
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 $109.65 Median $186.21 Typical High $257.04 | Professional | None | $109.65 | $186.21 | $257.04 |
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 $37.15 Median $44.67 Typical High $69.18 | Professional | 52 · Reduced service | $37.15 | $44.67 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $17.78 Typical High $28.18 | Professional | 53 · Discontinued | $14.79 | $17.78 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $66.07 Typical High $104.71 | Professional | 54 · Surgery only | $56.23 | $66.07 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $13.49 Typical High $20.89 | Professional | 55 · Aftercare only | $11.22 | $13.49 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.91 Typical High $14.13 | Professional | 56 · Pre-op care only | $7.41 | $8.91 | $14.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $52.48 Median $61.66 Typical High $97.72 | Professional | 78 · Unplanned return to OR | $52.48 | $61.66 | $97.72 |
Where Nebraska sits
The same service costs 4.2 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· 12th of 51
$145
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.