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 $77.62 Median $83.18 Typical High $173.78 | Facility | None | $77.62 | $83.18 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $91.20 Typical High $190.55 | Professional | None | $37.15 | $91.20 | $190.55 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $85.11 | Professional | None | $38.90 | $54.95 | $85.11 |
BCBS Nebraska Setting Facility Modifier None Typical Low $426.58 Median $562.34 Typical High $1,148.15 | Facility | None | $426.58 | $562.34 | $1,148.15 |
BCBS Nebraska Setting Professional Modifier None Typical Low $33.11 Median $58.88 Typical High $79.43 | Professional | None | $33.11 | $58.88 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $97.72 Typical High $117.49 | Facility | None | $74.13 | $97.72 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $158.49 Typical High $204.17 | Professional | None | $89.13 | $158.49 | $204.17 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $213.80 Typical High $1,230.27 | Facility | None | $75.86 | $213.80 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $194.98 Typical High $616.60 | Professional | None | $97.72 | $194.98 | $616.60 |
Midlands Setting Professional Modifier None Typical Low $109.65 Median $186.21 Typical High $239.88 | Professional | None | $109.65 | $186.21 | $239.88 |
Midlands Setting Facility Modifier None Typical Low $77.62 Median $97.72 Typical High $123.03 | Facility | None | $77.62 | $97.72 | $123.03 |
Midlands Setting Professional Modifier None Typical Low $69.18 Median $144.54 Typical High $251.19 | Professional | None | $69.18 | $144.54 | $251.19 |
Oscar Health Setting Professional Modifier None Typical Low $43.65 Median $95.50 Typical High $208.93 | Professional | None | $43.65 | $95.50 | $208.93 |
United Setting Facility Modifier None Typical Low $104.71 Median $234.42 Typical High $1,230.27 | Facility | None | $104.71 | $234.42 | $1,230.27 |
United Setting Professional Modifier None Typical Low $54.95 Median $104.71 Typical High $199.53 | Professional | None | $54.95 | $104.71 | $199.53 |
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 $18.62 Median $38.90 Typical High $41.69 | Professional | 52 · Reduced service | $18.62 | $38.90 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $15.49 Typical High $16.60 | Professional | 53 · Discontinued | $7.41 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $11.75 Typical High $12.30 | Professional | 55 · Aftercare only | $5.62 | $11.75 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $7.76 Typical High $8.32 | Professional | 56 · Pre-op care only | $3.72 | $7.76 | $8.32 |
Where Nebraska sits
The same service costs 3.8 times more in Alaska than in Virginia. 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· 34th of 51
$79.43
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.