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 $144.54 Median $1,548.82 Typical High $10,964.78 | Facility | None | $144.54 | $1,548.82 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $173.78 Typical High $457.09 | Professional | None | $67.61 | $173.78 | $457.09 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $436.52 | Professional | None | $144.54 | $144.54 | $436.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $338.84 Median $446.68 Typical High $912.01 | Facility | None | $338.84 | $446.68 | $912.01 |
BCBS Nebraska Setting Professional Modifier None Typical Low $58.88 Median $102.33 Typical High $138.04 | Professional | None | $58.88 | $102.33 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $380.19 Typical High $457.09 | Professional | None | $158.49 | $380.19 | $457.09 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $549.54 Typical High $4,365.16 | Facility | None | $128.82 | $549.54 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $416.87 Typical High $2,511.89 | Professional | None | $229.09 | $416.87 | $2,511.89 |
Midlands Setting Professional Modifier None Typical Low $165.96 Median $380.19 Typical High $467.74 | Professional | None | $165.96 | $380.19 | $467.74 |
Midlands Setting Professional Modifier None Typical Low $144.54 Median $380.19 Typical High $501.19 | Professional | None | $144.54 | $380.19 | $501.19 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $4,466.84 | Facility | None | $1,047.13 | $1,288.25 | $4,466.84 |
United Setting Professional Modifier None Typical Low $100.00 Median $229.09 Typical High $446.68 | Professional | None | $100.00 | $229.09 | $446.68 |
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 $33.11 Median $57.54 Typical High $87.10 | Professional | 52 · Reduced service | $33.11 | $57.54 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $22.91 Typical High $34.67 | Professional | 53 · Discontinued | $13.49 | $22.91 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $87.10 Typical High $131.83 | Professional | 54 · Surgery only | $50.12 | $87.10 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $17.38 Typical High $26.30 | Professional | 55 · Aftercare only | $10.00 | $17.38 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $11.48 Typical High $17.38 | Professional | 56 · Pre-op care only | $6.76 | $11.48 | $17.38 |
Where Nebraska sits
The same service costs 3.8 times more in Alaska than in Virginia. 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· 47th of 51
$135
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.