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 $275.42 Median $3,801.89 Typical High $11,481.54 | Facility | None | $275.42 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $245.47 Typical High $467.74 | Professional | None | $74.13 | $245.47 | $467.74 |
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 $66.07 Median $112.20 Typical High $154.88 | Professional | None | $66.07 | $112.20 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $602.56 Typical High $724.44 | Professional | None | $177.83 | $602.56 | $724.44 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $562.34 Typical High $4,365.16 | Facility | None | $141.25 | $562.34 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $602.56 Typical High $2,691.53 | Professional | None | $354.81 | $602.56 | $2,691.53 |
Midlands Setting Professional Modifier None Typical Low $181.97 Median $602.56 Typical High $812.83 | Professional | None | $181.97 | $602.56 | $812.83 |
Midlands Setting Professional Modifier None Typical Low $162.18 Median $645.65 Typical High $812.83 | Professional | None | $162.18 | $645.65 | $812.83 |
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 $112.20 Median $354.81 Typical High $707.95 | Professional | None | $112.20 | $354.81 | $707.95 |
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 $37.15 Median $64.57 Typical High $138.04 | Professional | 52 · Reduced service | $37.15 | $64.57 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $25.70 Typical High $54.95 | Professional | 53 · Discontinued | $14.79 | $25.70 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $95.50 Typical High $204.17 | Professional | 54 · Surgery only | $56.23 | $95.50 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $19.05 Typical High $40.74 | Professional | 55 · Aftercare only | $11.22 | $19.05 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $12.88 Typical High $27.54 | Professional | 56 · Pre-op care only | $7.41 | $12.88 | $27.54 |
Where Nebraska sits
The same service costs 4.2 times more in Washington 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· 46th of 51
$148
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.