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 $100.00 Median $1,548.82 Typical High $10,964.78 | Facility | None | $100.00 | $1,548.82 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $60.26 Typical High $147.91 | Professional | None | $46.77 | $60.26 | $147.91 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $3,388.44 | Facility | None | $1,258.93 | $1,659.59 | $3,388.44 |
BCBS Nebraska Setting Professional Modifier None Typical Low $40.74 Median $70.79 Typical High $93.33 | Professional | None | $40.74 | $70.79 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $158.49 | Professional | None | $109.65 | $123.03 | $158.49 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $223.87 Typical High $1,000.00 | Facility | None | $89.13 | $223.87 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $128.82 Typical High $446.68 | Professional | None | $75.86 | $128.82 | $446.68 |
Midlands Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $158.49 | Professional | None | $109.65 | $134.90 | $158.49 |
Midlands Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $131.83 | Professional | None | $95.50 | $117.49 | $131.83 |
United Setting Facility Modifier None Typical Low $104.71 Median $234.42 Typical High $1,288.25 | Facility | None | $104.71 | $234.42 | $1,288.25 |
United Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $147.91 | Professional | None | $72.44 | $114.82 | $147.91 |
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 $23.44 Median $23.44 Typical High $28.18 | Professional | 52 · Reduced service | $23.44 | $23.44 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $11.48 | Professional | 53 · Discontinued | $9.33 | $9.33 | $11.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | 54 · Surgery only | $35.48 | $35.48 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $8.51 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.68 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.68 | $4.68 | $5.62 |
Where Nebraska sits
The same service costs 4.8 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· 14th of 51
$87.10
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.