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 $117.49 Median $1,548.82 Typical High $10,964.78 | Facility | None | $117.49 | $1,548.82 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $120.23 Typical High $239.88 | Professional | None | $53.70 | $120.23 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $204.17 | Professional | None | $61.66 | $77.62 | $204.17 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $3,388.44 | Facility | None | $1,230.27 | $1,659.59 | $3,388.44 |
BCBS Nebraska Setting Professional Modifier None Typical Low $47.86 Median $83.18 Typical High $109.65 | Professional | None | $47.86 | $83.18 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $95.50 Typical High $114.82 | Facility | None | $77.62 | $95.50 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $239.88 | Professional | None | $120.23 | $177.83 | $239.88 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $1,000.00 | Facility | None | $97.72 | $234.42 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $234.42 Typical High $741.31 | Professional | None | $114.82 | $234.42 | $741.31 |
Midlands Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $257.04 | Professional | None | $141.25 | $208.93 | $257.04 |
Midlands Setting Facility Modifier None Typical Low $79.43 Median $97.72 Typical High $154.88 | Facility | None | $79.43 | $97.72 | $154.88 |
Midlands Setting Professional Modifier None Typical Low $100.00 Median $181.97 Typical High $309.03 | Professional | None | $100.00 | $181.97 | $309.03 |
Oscar Health Setting Professional Modifier None Typical Low $56.23 Median $109.65 Typical High $218.78 | Professional | None | $56.23 | $109.65 | $218.78 |
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 $81.28 Median $134.90 Typical High $234.42 | Professional | None | $81.28 | $134.90 | $234.42 |
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 $26.92 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $26.92 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $10.72 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $67.61 Typical High $69.18 | Professional | 54 · Surgery only | $40.74 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $13.49 Typical High $13.80 | Professional | 55 · Aftercare only | $8.13 | $13.49 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $5.37 | $9.12 | $9.12 |
Where Nebraska sits
The same service costs 3.7 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· 21st of 51
$107
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.