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 $1,548.82 Median $4,365.16 Typical High $11,481.54 | Facility | None | $1,548.82 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $1,071.52 | Professional | None | $269.15 | $269.15 | $1,071.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,162.28 Median $4,168.69 Typical High $8,511.38 | Facility | None | $3,162.28 | $4,168.69 | $8,511.38 |
BCBS Nebraska Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,778.28 | Professional | None | $1,258.93 | $1,348.96 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $1,659.59 | Facility | None | $1,288.25 | $1,548.82 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,548.82 | Professional | None | $575.44 | $707.95 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,348.96 Typical High $4,897.79 | Facility | None | $630.96 | $1,348.96 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $691.83 Typical High $2,238.72 | Professional | None | $416.87 | $691.83 | $2,238.72 |
Midlands Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,548.82 | Professional | None | $630.96 | $794.33 | $1,548.82 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $2,290.87 | Facility | None | $1,288.25 | $1,548.82 | $2,290.87 |
Midlands Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,548.82 | Professional | None | $630.96 | $794.33 | $1,548.82 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,235.94 | Facility | None | $707.95 | $1,445.44 | $3,235.94 |
United Setting Professional Modifier None Typical Low $416.87 Median $660.69 Typical High $776.25 | Professional | None | $416.87 | $660.69 | $776.25 |
4 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 $134.90 Median $134.90 Typical High $154.88 | Professional | 52 · Reduced service | $134.90 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | 53 · Discontinued | $53.70 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $46.77 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $30.90 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $30.90 |
Where Nebraska sits
The same service costs 7.1 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· 3rd of 51
$708
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.