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 $218.78 Median $3,801.89 Typical High $11,481.54 | Facility | None | $218.78 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $218.78 Typical High $1,071.52 | Professional | None | $67.61 | $218.78 | $1,071.52 |
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 $57.54 Median $100.00 Typical High $138.04 | Professional | None | $57.54 | $100.00 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $457.09 Typical High $645.65 | Professional | None | $158.49 | $457.09 | $645.65 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $234.42 Typical High $1,202.26 | Facility | None | $102.33 | $234.42 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $575.44 Typical High $1,737.80 | Professional | None | $331.13 | $575.44 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $162.18 Median $467.74 Typical High $645.65 | Professional | None | $162.18 | $467.74 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $138.04 Median $446.68 Typical High $524.81 | Professional | None | $138.04 | $446.68 | $524.81 |
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 $120.23 Median $331.13 Typical High $691.83 | Professional | None | $120.23 | $331.13 | $691.83 |
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 $33.88 Median $33.88 Typical High $109.65 | Professional | 52 · Reduced service | $33.88 | $33.88 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $43.65 | Professional | 53 · Discontinued | $13.49 | $13.49 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $50.12 Typical High $165.96 | Professional | 54 · Surgery only | $50.12 | $50.12 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $33.11 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $21.88 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $21.88 |
Where Nebraska sits
The same service costs 4.5 times more in Oklahoma than in Nebraska. 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· 51st of 51
$129
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.