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 $60.26 Median $3,801.89 Typical High $11,481.54 | Facility | None | $60.26 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $85.11 Typical High $158.49 | Professional | None | $38.02 | $85.11 | $158.49 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $154.88 | Professional | None | $128.82 | $128.82 | $154.88 |
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 $33.11 Median $57.54 Typical High $75.86 | Professional | None | $33.11 | $57.54 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $74.13 | Facility | None | $50.12 | $64.57 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $158.49 | Professional | None | $81.28 | $117.49 | $158.49 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $213.80 Typical High $1,288.25 | Facility | None | $70.79 | $213.80 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $154.88 Typical High $588.84 | Professional | None | $75.86 | $154.88 | $588.84 |
Midlands Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $169.82 | Professional | None | $95.50 | $134.90 | $169.82 |
Midlands Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $77.62 | Facility | None | $50.12 | $66.07 | $77.62 |
Midlands Setting Professional Modifier None Typical Low $69.18 Median $125.89 Typical High $199.53 | Professional | None | $69.18 | $125.89 | $199.53 |
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 $54.95 Median $93.33 Typical High $151.36 | Professional | None | $54.95 | $93.33 | $151.36 |
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 $19.05 Median $30.20 Typical High $32.36 | Professional | 52 · Reduced service | $19.05 | $30.20 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $12.02 Typical High $12.88 | Professional | 53 · Discontinued | $7.59 | $12.02 | $12.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.18 Median $44.67 Typical High $47.86 | Professional | 54 · Surgery only | $28.18 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $8.91 Typical High $9.55 | Professional | 55 · Aftercare only | $5.62 | $8.91 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $6.03 Typical High $6.46 | Professional | 56 · Pre-op care only | $3.80 | $6.03 | $6.46 |
Where Nebraska sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 18th of 51
$75.86
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.