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 $63.10 Median $91.20 Typical High $316.23 | Facility | None | $63.10 | $91.20 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $134.90 Typical High $223.87 | Professional | None | $63.10 | $134.90 | $223.87 |
Ambetter Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
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 $54.95 Median $95.50 Typical High $125.89 | Professional | None | $54.95 | $95.50 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $112.20 Typical High $134.90 | Facility | None | $91.20 | $112.20 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $239.88 | Professional | None | $131.83 | $181.97 | $239.88 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $213.80 Typical High $1,288.25 | Facility | None | $95.50 | $213.80 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $229.09 Typical High $724.44 | Professional | None | $114.82 | $229.09 | $724.44 |
Midlands Setting Professional Modifier None Typical Low $154.88 Median $213.80 Typical High $269.15 | Professional | None | $154.88 | $213.80 | $269.15 |
Midlands Setting Facility Modifier None Typical Low $91.20 Median $117.49 Typical High $138.04 | Facility | None | $91.20 | $117.49 | $138.04 |
Midlands Setting Professional Modifier None Typical Low $117.49 Median $208.93 Typical High $295.12 | Professional | None | $117.49 | $208.93 | $295.12 |
Oscar Health Setting Professional Modifier None Typical Low $70.79 Median $128.82 Typical High $229.09 | Professional | None | $70.79 | $128.82 | $229.09 |
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 $89.13 Median $151.36 Typical High $229.09 | Professional | None | $89.13 | $151.36 | $229.09 |
4 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 $31.62 Median $45.71 Typical High $52.48 | Professional | 52 · Reduced service | $31.62 | $45.71 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $18.20 Typical High $21.38 | Professional | 53 · Discontinued | $12.59 | $18.20 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $13.80 Typical High $15.85 | Professional | 55 · Aftercare only | $9.33 | $13.80 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $9.12 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.31 | $9.12 | $10.72 |
Where Nebraska sits
The same service costs 3.6 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· 15th 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.