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 $151.36 Median $3,801.89 Typical High $11,481.54 | Facility | None | $151.36 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $151.36 Typical High $165.96 | Professional | None | $70.79 | $151.36 | $165.96 |
BCBS Nebraska Setting Facility Modifier None Typical Low $338.84 Median $446.68 Typical High $912.01 | Facility | None | $338.84 | $446.68 | $912.01 |
BCBS Nebraska Setting Professional Modifier None Typical Low $61.66 Median $107.15 Typical High $141.25 | Professional | None | $61.66 | $107.15 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $316.23 Typical High $389.05 | Professional | None | $165.96 | $316.23 | $389.05 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $4,365.16 | Facility | None | $134.90 | $346.74 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $354.81 Typical High $1,737.80 | Professional | None | $199.53 | $354.81 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $169.82 Median $323.59 Typical High $398.11 | Professional | None | $169.82 | $323.59 | $398.11 |
Midlands Setting Professional Modifier None Typical Low $151.36 Median $323.59 Typical High $489.78 | Professional | None | $151.36 | $323.59 | $489.78 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $4,466.84 | Facility | None | $1,047.13 | $1,288.25 | $4,466.84 |
United Setting Professional Modifier None Typical Low $104.71 Median $199.53 Typical High $416.87 | Professional | None | $104.71 | $199.53 | $416.87 |
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 $35.48 Median $57.54 Typical High $75.86 | Professional | 52 · Reduced service | $35.48 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $23.44 Typical High $30.20 | Professional | 53 · Discontinued | $14.13 | $23.44 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $87.10 Typical High $114.82 | Professional | 54 · Surgery only | $53.70 | $87.10 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $17.38 Typical High $22.91 | Professional | 55 · Aftercare only | $10.72 | $17.38 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $11.48 Typical High $15.14 | Professional | 56 · Pre-op care only | $7.08 | $11.48 | $15.14 |
Where Nebraska sits
The same service costs 2.6 times more in Wisconsin than in Utah. 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· 44th of 51
$138
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.