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 $125.89 Median $3,801.89 Typical High $11,481.54 | Facility | None | $125.89 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $213.80 | Professional | None | $91.20 | $125.89 | $213.80 |
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 $79.43 Median $138.04 Typical High $181.97 | Professional | None | $79.43 | $138.04 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $169.82 | Facility | None | $117.49 | $147.91 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $331.13 | Professional | None | $194.98 | $257.04 | $331.13 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $234.42 Typical High $1,778.28 | Facility | None | $102.33 | $234.42 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $323.59 Typical High $1,023.29 | Professional | None | $162.18 | $323.59 | $1,023.29 |
Midlands Setting Professional Modifier None Typical Low $229.09 Median $302.00 Typical High $363.08 | Professional | None | $229.09 | $302.00 | $363.08 |
Midlands Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $177.83 | Facility | None | $117.49 | $147.91 | $177.83 |
Midlands Setting Professional Modifier None Typical Low $169.82 Median $302.00 Typical High $416.87 | Professional | None | $169.82 | $302.00 | $416.87 |
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 $128.82 Median $218.78 Typical High $331.13 | Professional | None | $128.82 | $218.78 | $331.13 |
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 $45.71 Median $63.10 Typical High $77.62 | Professional | 52 · Reduced service | $45.71 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $25.12 Typical High $30.90 | Professional | 53 · Discontinued | $18.20 | $25.12 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $19.05 Typical High $22.91 | Professional | 55 · Aftercare only | $13.49 | $19.05 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $12.59 Typical High $15.49 | Professional | 56 · Pre-op care only | $9.12 | $12.59 | $15.49 |
Where Nebraska sits
The same service costs 3.7 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· 15th of 51
$174
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.