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 $2,570.40 Median $2,570.40 Typical High $4,897.79 | Facility | None | $2,570.40 | $2,570.40 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $2,884.03 | Facility | None | $2,137.96 | $2,754.23 | $2,884.03 |
BCBS Nebraska Setting Professional Modifier None Typical Low $2,630.27 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,630.27 | $2,754.23 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $2,951.21 Typical High $3,019.95 | Professional | None | $2,754.23 | $2,951.21 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $2,344.23 Median $4,677.35 Typical High $12,302.69 | Facility | None | $2,344.23 | $4,677.35 | $12,302.69 |
Medica Setting Professional Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $10,715.19 | Professional | None | $2,454.71 | $2,884.03 | $10,715.19 |
Midlands Setting Professional Modifier None Typical Low $2,818.38 Median $2,951.21 Typical High $3,019.95 | Professional | None | $2,818.38 | $2,951.21 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $2,754.23 Median $2,884.03 Typical High $4,265.80 | Professional | None | $2,754.23 | $2,884.03 | $4,265.80 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $2,454.71 Typical High $2,951.21 | Professional | None | $2,344.23 | $2,454.71 | $2,951.21 |
5 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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $257.04 |
Where Nebraska sits
Rates are fairly even across states for this service. 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· 3rd of 51
$2,818
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.