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 $134.90 Median $3,801.89 Typical High $11,481.54 | Facility | None | $134.90 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $134.90 Typical High $1,071.52 | Professional | None | $61.66 | $134.90 | $1,071.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,454.71 Median $3,235.94 Typical High $6,606.93 | Facility | None | $2,454.71 | $3,235.94 | $6,606.93 |
BCBS Nebraska Setting Professional Modifier None Typical Low $53.70 Median $95.50 Typical High $128.82 | Professional | None | $53.70 | $95.50 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,023.29 Typical High $1,288.25 | Facility | None | $512.86 | $1,023.29 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $281.84 Typical High $346.74 | Professional | None | $144.54 | $281.84 | $346.74 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $1,096.48 Typical High $3,981.07 | Facility | None | $263.03 | $1,096.48 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $338.84 Typical High $1,096.48 | Professional | None | $177.83 | $338.84 | $1,096.48 |
Midlands Setting Professional Modifier None Typical Low $147.91 Median $323.59 Typical High $398.11 | Professional | None | $147.91 | $323.59 | $398.11 |
Midlands Setting Facility Modifier None Typical Low $467.74 Median $1,047.13 Typical High $1,380.38 | Facility | None | $467.74 | $1,047.13 | $1,380.38 |
Midlands Setting Professional Modifier None Typical Low $125.89 Median $275.42 Typical High $323.59 | Professional | None | $125.89 | $275.42 | $323.59 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $95.50 Median $177.83 Typical High $371.54 | Professional | None | $95.50 | $177.83 | $371.54 |
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 $30.90 Median $30.90 Typical High $67.61 | Professional | 52 · Reduced service | $30.90 | $30.90 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $26.92 | Professional | 53 · Discontinued | $12.30 | $12.30 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $45.71 Typical High $100.00 | Professional | 54 · Surgery only | $45.71 | $45.71 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $19.95 | Professional | 55 · Aftercare only | $9.12 | $9.12 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $13.49 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $13.49 |
Where Nebraska sits
The same service costs 4.9 times more in Alaska than in Hawaii. 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· 49th 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.