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 $263.03 Median $7,585.78 Typical High $12,589.25 | Facility | None | $263.03 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $263.03 Typical High $436.52 | Professional | None | $147.91 | $263.03 | $436.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $691.83 Median $912.01 Typical High $1,862.09 | Facility | None | $691.83 | $912.01 | $1,862.09 |
BCBS Nebraska Setting Professional Modifier None Typical Low $128.82 Median $223.87 Typical High $295.12 | Professional | None | $128.82 | $223.87 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $269.15 | Facility | None | $173.78 | $229.09 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $524.81 Typical High $691.83 | Professional | None | $309.03 | $524.81 | $691.83 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $251.19 Typical High $1,288.25 | Facility | None | $102.33 | $251.19 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $645.65 Typical High $2,089.30 | Professional | None | $323.59 | $645.65 | $2,089.30 |
Midlands Setting Professional Modifier None Typical Low $363.08 Median $616.60 Typical High $776.25 | Professional | None | $363.08 | $616.60 | $776.25 |
Midlands Setting Facility Modifier None Typical Low $181.97 Median $239.88 Typical High $281.84 | Facility | None | $181.97 | $239.88 | $281.84 |
Midlands Setting Professional Modifier None Typical Low $275.42 Median $489.78 Typical High $831.76 | Professional | None | $275.42 | $489.78 | $831.76 |
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 $208.93 Median $371.54 Typical High $660.69 | Professional | None | $208.93 | $371.54 | $660.69 |
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 $74.13 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $74.13 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $29.51 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $199.53 Typical High $199.53 | Professional | 54 · Surgery only | $109.65 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $21.88 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $14.79 | $26.30 | $26.30 |
Where Nebraska sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 22nd of 51
$275
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.