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 $95.50 Median $7,585.78 Typical High $12,589.25 | Facility | None | $95.50 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $95.50 Typical High $125.89 | Professional | None | $64.57 | $95.50 | $125.89 |
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 $56.23 Median $97.72 Typical High $128.82 | Professional | None | $56.23 | $97.72 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $107.15 Typical High $138.04 | Facility | None | $67.61 | $107.15 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $245.47 | Professional | None | $134.90 | $190.55 | $245.47 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $223.87 Typical High $1,288.25 | Facility | None | $97.72 | $223.87 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $234.42 Typical High $758.58 | Professional | None | $117.49 | $234.42 | $758.58 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $281.84 | Professional | None | $158.49 | $223.87 | $281.84 |
Midlands Setting Facility Modifier None Typical Low $64.57 Median $114.82 Typical High $144.54 | Facility | None | $64.57 | $114.82 | $144.54 |
Midlands Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $302.00 | Professional | None | $120.23 | $213.80 | $302.00 |
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 $91.20 Median $154.88 Typical High $239.88 | Professional | None | $91.20 | $154.88 | $239.88 |
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 $32.36 Median $46.77 Typical High $54.95 | Professional | 52 · Reduced service | $32.36 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $19.05 Typical High $21.88 | Professional | 53 · Discontinued | $12.88 | $19.05 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $70.79 Typical High $81.28 | Professional | 54 · Surgery only | $47.86 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $14.13 Typical High $16.22 | Professional | 55 · Aftercare only | $9.55 | $14.13 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $9.33 Typical High $10.96 | Professional | 56 · Pre-op care only | $6.46 | $9.33 | $10.96 |
Where Nebraska sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 13th of 51
$123
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.