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 $223.87 Median $3,801.89 Typical High $11,481.54 | Facility | None | $223.87 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $223.87 Typical High $1,071.52 | Professional | None | $141.25 | $223.87 | $1,071.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $1,445.44 | Facility | None | $537.03 | $707.95 | $1,445.44 |
BCBS Nebraska Setting Professional Modifier None Typical Low $117.49 Median $208.93 Typical High $275.42 | Professional | None | $117.49 | $208.93 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $263.03 Typical High $323.59 | Facility | None | $154.88 | $263.03 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $549.54 | Professional | None | $316.23 | $446.68 | $549.54 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $660.69 Typical High $2,290.87 | Facility | None | $257.04 | $660.69 | $2,290.87 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $524.81 Typical High $1,737.80 | Professional | None | $302.00 | $524.81 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $575.44 | Professional | None | $323.59 | $467.74 | $575.44 |
Midlands Setting Facility Modifier None Typical Low $147.91 Median $288.40 Typical High $346.74 | Facility | None | $147.91 | $288.40 | $346.74 |
Midlands Setting Professional Modifier None Typical Low $275.42 Median $436.52 Typical High $501.19 | Professional | None | $275.42 | $436.52 | $501.19 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,754.23 | Facility | None | $467.74 | $851.14 | $2,754.23 |
United Setting Professional Modifier None Typical Low $199.53 Median $331.13 Typical High $562.34 | Professional | None | $199.53 | $331.13 | $562.34 |
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 $70.79 Typical High $112.20 | Professional | 52 · Reduced service | $70.79 | $70.79 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $44.67 | Professional | 53 · Discontinued | $28.18 | $28.18 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $104.71 Typical High $165.96 | Professional | 54 · Surgery only | $104.71 | $104.71 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $33.11 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $22.39 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $22.39 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $97.72 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $97.72 | $97.72 | $154.88 |
Where Nebraska sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 21st of 51
$263
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.