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 $302.00 Median $7,585.78 Typical High $12,589.25 | Facility | None | $302.00 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $302.00 Typical High $363.08 | Professional | None | $173.78 | $302.00 | $363.08 |
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 $151.36 Median $257.04 Typical High $346.74 | Professional | None | $151.36 | $257.04 | $346.74 |
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 $363.08 Median $602.56 Typical High $794.33 | Professional | None | $363.08 | $602.56 | $794.33 |
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 $371.54 Median $724.44 Typical High $2,398.83 | Professional | None | $371.54 | $724.44 | $2,398.83 |
Midlands Setting Professional Modifier None Typical Low $426.58 Median $707.95 Typical High $891.25 | Professional | None | $426.58 | $707.95 | $891.25 |
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 $323.59 Median $575.44 Typical High $954.99 | Professional | None | $323.59 | $575.44 | $954.99 |
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 $239.88 Median $426.58 Typical High $758.58 | Professional | None | $239.88 | $426.58 | $758.58 |
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 $87.10 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $87.10 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $34.67 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $229.09 Typical High $229.09 | Professional | 54 · Surgery only | $128.82 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $45.71 Typical High $45.71 | Professional | 55 · Aftercare only | $25.70 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $17.38 | $30.20 | $30.20 |
Where Nebraska sits
The same service costs 3.8 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· 21st of 51
$324
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.