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 $1,659.59 Median $5,011.87 Typical High $11,481.54 | Facility | None | $1,659.59 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $1,445.44 | Professional | None | $302.00 | $302.00 | $1,445.44 |
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 $707.95 Median $912.01 Typical High $1,949.84 | Professional | None | $707.95 | $912.01 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,348.96 Typical High $4,897.79 | Facility | None | $645.65 | $1,348.96 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $870.96 Typical High $2,884.03 | Professional | None | $537.03 | $870.96 | $2,884.03 |
Midlands Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,949.84 | Professional | None | $707.95 | $870.96 | $1,949.84 |
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 $707.95 Median $870.96 Typical High $1,949.84 | Professional | None | $707.95 | $870.96 | $1,949.84 |
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 $537.03 Median $812.83 Typical High $1,000.00 | Professional | None | $537.03 | $812.83 | $1,000.00 |
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 $151.36 Median $151.36 Typical High $190.55 | Professional | 52 · Reduced service | $151.36 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $77.62 | Professional | 53 · Discontinued | $60.26 | $60.26 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $57.54 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $38.02 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $38.02 |
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
$891
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.