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 $16.98 Median $16.98 Typical High $29.51 | Facility | None | $16.98 | $16.98 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $29.51 Typical High $48.98 | Professional | None | $16.98 | $29.51 | $48.98 |
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 $15.14 Median $26.30 Typical High $34.67 | Professional | None | $15.14 | $26.30 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $31.62 Typical High $34.67 | Facility | None | $26.30 | $31.62 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $61.66 Typical High $77.62 | Professional | None | $38.02 | $61.66 | $77.62 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $194.98 Typical High $1,288.25 | Facility | None | $54.95 | $194.98 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $109.65 Typical High $338.84 | Professional | None | $40.74 | $109.65 | $338.84 |
Midlands Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $79.43 | Professional | None | $44.67 | $64.57 | $79.43 |
Midlands Setting Facility Modifier None Typical Low $26.30 Median $31.62 Typical High $43.65 | Facility | None | $26.30 | $31.62 | $43.65 |
Midlands Setting Professional Modifier None Typical Low $31.62 Median $60.26 Typical High $102.33 | Professional | None | $31.62 | $60.26 | $102.33 |
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 $25.70 Median $46.77 Typical High $87.10 | Professional | None | $25.70 | $46.77 | $87.10 |
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 $8.51 Median $14.79 Typical High $24.55 | Professional | 52 · Reduced service | $8.51 | $14.79 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $5.89 Typical High $9.77 | Professional | 53 · Discontinued | $3.39 | $5.89 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.57 Median $4.47 Typical High $7.41 | Professional | 55 · Aftercare only | $2.57 | $4.47 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $2.95 Typical High $4.90 | Professional | 56 · Pre-op care only | $1.70 | $2.95 | $4.90 |
Where Nebraska sits
The same service costs 3.5 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· 38th of 51
$33.88
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.