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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | None | $72.44 | $72.44 | $85.11 |
BCBS Nebraska Setting Facility Modifier None Typical Low $645.65 Median $870.96 Typical High $1,737.80 | Facility | None | $645.65 | $870.96 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $436.52 | Professional | None | $169.82 | $204.17 | $436.52 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $3,715.35 Typical High $7,943.28 | Facility | None | $141.25 | $3,715.35 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $194.98 Typical High $512.86 | Professional | None | $125.89 | $194.98 | $512.86 |
Midlands Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $436.52 | Professional | None | $169.82 | $208.93 | $436.52 |
Midlands Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $436.52 | Professional | None | $169.82 | $208.93 | $436.52 |
United Setting Facility Modifier None Typical Low $3,090.30 Median $3,801.89 Typical High $8,128.31 | Facility | None | $3,090.30 | $3,801.89 | $8,128.31 |
United Setting Professional Modifier None Typical Low $125.89 Median $177.83 Typical High $208.93 | Professional | None | $125.89 | $177.83 | $208.93 |
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 $36.31 Median $36.31 Typical High $42.66 | Professional | 52 · Reduced service | $36.31 | $36.31 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $16.98 | Professional | 53 · Discontinued | $14.45 | $14.45 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $12.59 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.24 | $7.24 | $8.51 |
Where Nebraska sits
The same service costs 12.6 times more in California 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
$191
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.