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 $251.19 Median $7,244.36 Typical High $17,378.01 | Facility | None | $251.19 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $251.19 Typical High $1,445.44 | Professional | None | $131.83 | $251.19 | $1,445.44 |
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 $114.82 Median $199.53 Typical High $275.42 | Professional | None | $114.82 | $199.53 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,398.83 Typical High $3,162.28 | Facility | None | $1,659.59 | $2,398.83 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $512.86 Typical High $660.69 | Professional | None | $309.03 | $512.86 | $660.69 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $1,995.26 Typical High $7,413.10 | Facility | None | $478.63 | $1,995.26 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $645.65 Typical High $2,041.74 | Professional | None | $338.84 | $645.65 | $2,041.74 |
Midlands Setting Professional Modifier None Typical Low $316.23 Median $575.44 Typical High $724.44 | Professional | None | $316.23 | $575.44 | $724.44 |
Midlands Setting Facility Modifier None Typical Low $1,659.59 Median $2,630.27 Typical High $3,630.78 | Facility | None | $1,659.59 | $2,630.27 | $3,630.78 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $512.86 Typical High $588.84 | Professional | None | $269.15 | $512.86 | $588.84 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $6,606.93 | Facility | None | $1,288.25 | $2,238.72 | $6,606.93 |
United Setting Professional Modifier None Typical Low $204.17 Median $346.74 Typical High $691.83 | Professional | None | $204.17 | $346.74 | $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 $66.07 Median $66.07 Typical High $125.89 | Professional | 52 · Reduced service | $66.07 | $66.07 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $50.12 | Professional | 53 · Discontinued | $26.30 | $26.30 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $100.00 Typical High $186.21 | Professional | 54 · Surgery only | $100.00 | $100.00 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $37.15 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $25.12 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $25.12 |
Where Nebraska sits
The same service costs 5.8 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· 40th of 51
$263
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.