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 $186.21 Median $3,801.89 Typical High $11,481.54 | Facility | None | $186.21 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $186.21 Typical High $309.03 | Professional | None | $46.77 | $186.21 | $309.03 |
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 $41.69 Median $72.44 Typical High $97.72 | Professional | None | $41.69 | $72.44 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $354.81 Typical High $489.78 | Professional | None | $104.71 | $354.81 | $489.78 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $234.42 Typical High $1,202.26 | Facility | None | $89.13 | $234.42 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $457.09 Typical High $2,238.72 | Professional | None | $245.47 | $457.09 | $2,238.72 |
Midlands Setting Professional Modifier None Typical Low $123.03 Median $416.87 Typical High $512.86 | Professional | None | $123.03 | $416.87 | $512.86 |
Midlands Setting Professional Modifier None Typical Low $85.11 Median $346.74 Typical High $691.83 | Professional | None | $85.11 | $346.74 | $691.83 |
United Setting Facility Modifier None Typical Low $104.71 Median $234.42 Typical High $1,288.25 | Facility | None | $104.71 | $234.42 | $1,288.25 |
United Setting Professional Modifier None Typical Low $70.79 Median $245.47 Typical High $489.78 | Professional | None | $70.79 | $245.47 | $489.78 |
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 $23.44 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $23.44 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $9.33 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $141.25 Typical High $141.25 | Professional | 54 · Surgery only | $34.67 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $7.08 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $4.68 | $18.62 | $18.62 |
Where Nebraska sits
The same service costs 4.6 times more in Iowa 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· 42nd of 51
$95.50
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.