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 $281.84 Median $7,585.78 Typical High $12,589.25 | Facility | None | $281.84 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $281.84 Typical High $323.59 | Professional | None | $158.49 | $281.84 | $323.59 |
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 $138.04 Median $239.88 Typical High $316.23 | Professional | None | $138.04 | $239.88 | $316.23 |
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 $331.13 Median $562.34 Typical High $741.31 | Professional | None | $331.13 | $562.34 | $741.31 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $257.04 Typical High $1,288.25 | Facility | None | $102.33 | $257.04 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $707.95 Typical High $2,238.72 | Professional | None | $346.74 | $707.95 | $2,238.72 |
Midlands Setting Professional Modifier None Typical Low $389.05 Median $660.69 Typical High $831.76 | Professional | None | $389.05 | $660.69 | $831.76 |
Midlands Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $281.84 | Facility | None | $173.78 | $239.88 | $281.84 |
Midlands Setting Professional Modifier None Typical Low $295.12 Median $524.81 Typical High $891.25 | Professional | None | $295.12 | $524.81 | $891.25 |
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 $223.87 Median $398.11 Typical High $724.44 | Professional | None | $223.87 | $398.11 | $724.44 |
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 $79.43 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $79.43 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $31.62 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $213.80 Typical High $213.80 | Professional | 54 · Surgery only | $120.23 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $42.66 Typical High $42.66 | Professional | 55 · Aftercare only | $23.99 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $15.85 | $28.18 | $28.18 |
Where Nebraska sits
The same service costs 4.0 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· 20th of 51
$302
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.