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 $245.47 Median $7,585.78 Typical High $12,589.25 | Facility | None | $245.47 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $245.47 Typical High $338.84 | Professional | None | $131.83 | $245.47 | $338.84 |
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 $114.82 Median $204.17 Typical High $263.03 | Professional | None | $114.82 | $204.17 | $263.03 |
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 $275.42 Median $489.78 Typical High $645.65 | Professional | None | $275.42 | $489.78 | $645.65 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $245.47 Typical High $1,288.25 | Facility | None | $102.33 | $245.47 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $616.60 Typical High $1,949.84 | Professional | None | $302.00 | $616.60 | $1,949.84 |
Midlands Setting Professional Modifier None Typical Low $323.59 Median $575.44 Typical High $741.31 | Professional | None | $323.59 | $575.44 | $741.31 |
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 $245.47 Median $467.74 Typical High $776.25 | Professional | None | $245.47 | $467.74 | $776.25 |
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 $186.21 Median $331.13 Typical High $616.60 | Professional | None | $186.21 | $331.13 | $616.60 |
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 $66.07 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $66.07 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $26.30 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $186.21 Typical High $186.21 | Professional | 54 · Surgery only | $100.00 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $19.95 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $13.18 | $24.55 | $24.55 |
Where Nebraska sits
The same service costs 4.1 times more in Alaska 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· 23rd of 51
$251
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.