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 $57.54 Median $57.54 Typical High $83.18 | Facility | None | $57.54 | $57.54 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $120.23 Typical High $204.17 | Professional | None | $57.54 | $120.23 | $204.17 |
Ambetter Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $223.87 | Professional | None | $53.70 | $53.70 | $223.87 |
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 $50.12 Median $89.13 Typical High $114.82 | Professional | None | $50.12 | $89.13 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $104.71 Typical High $123.03 | Facility | None | $83.18 | $104.71 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $218.78 | Professional | None | $120.23 | $165.96 | $218.78 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $234.42 Typical High $1,230.27 | Facility | None | $89.13 | $234.42 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $199.53 Typical High $660.69 | Professional | None | $102.33 | $199.53 | $660.69 |
Midlands Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $239.88 | Professional | None | $141.25 | $194.98 | $239.88 |
Midlands Setting Facility Modifier None Typical Low $85.11 Median $107.15 Typical High $125.89 | Facility | None | $85.11 | $107.15 | $125.89 |
Midlands Setting Professional Modifier None Typical Low $107.15 Median $190.55 Typical High $263.03 | Professional | None | $107.15 | $190.55 | $263.03 |
Oscar Health Setting Professional Modifier None Typical Low $63.10 Median $117.49 Typical High $204.17 | Professional | None | $63.10 | $117.49 | $204.17 |
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 $79.43 Median $138.04 Typical High $208.93 | Professional | None | $79.43 | $138.04 | $208.93 |
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 $28.84 Median $41.69 Typical High $48.98 | Professional | 52 · Reduced service | $28.84 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $16.60 Typical High $19.50 | Professional | 53 · Discontinued | $11.48 | $16.60 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $12.30 Typical High $14.79 | Professional | 55 · Aftercare only | $8.71 | $12.30 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $8.32 Typical High $9.77 | Professional | 56 · Pre-op care only | $5.75 | $8.32 | $9.77 |
Where Nebraska sits
The same service costs 3.7 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· 14th of 51
$112
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.