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 $81.28 Median $3,801.89 Typical High $11,481.54 | Facility | None | $81.28 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $177.83 | Professional | None | $60.26 | $81.28 | $177.83 |
BCBS Nebraska Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $1,905.46 | Facility | None | $691.83 | $933.25 | $1,905.46 |
BCBS Nebraska Setting Professional Modifier None Typical Low $52.48 Median $89.13 Typical High $120.23 | Professional | None | $52.48 | $89.13 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $83.18 Typical High $100.00 | Facility | None | $66.07 | $83.18 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $208.93 | Professional | None | $128.82 | $162.18 | $208.93 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $213.80 Typical High $1,000.00 | Facility | None | $72.44 | $213.80 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $208.93 Typical High $645.65 | Professional | None | $102.33 | $208.93 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $229.09 | Professional | None | $151.36 | $190.55 | $229.09 |
Midlands Setting Facility Modifier None Typical Low $67.61 Median $87.10 Typical High $134.90 | Facility | None | $67.61 | $87.10 | $134.90 |
Midlands Setting Professional Modifier None Typical Low $109.65 Median $199.53 Typical High $269.15 | Professional | None | $109.65 | $199.53 | $269.15 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $87.10 Median $141.25 Typical High $208.93 | Professional | None | $87.10 | $141.25 | $208.93 |
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 $30.20 Median $39.81 Typical High $51.29 | Professional | 52 · Reduced service | $30.20 | $39.81 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $16.22 Typical High $20.42 | Professional | 53 · Discontinued | $12.02 | $16.22 | $20.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $60.26 Typical High $75.86 | Professional | 54 · Surgery only | $44.67 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $12.02 Typical High $15.14 | Professional | 55 · Aftercare only | $8.91 | $12.02 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $7.94 Typical High $10.23 | Professional | 56 · Pre-op care only | $6.03 | $7.94 | $10.23 |
Where Nebraska sits
The same service costs 3.8 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· 17th of 51
$112
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.