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 $95.50 Median $95.50 Typical High $131.83 | Facility | None | $95.50 | $95.50 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $165.96 | Professional | None | $95.50 | $131.83 | $165.96 |
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 $85.11 Median $144.54 Typical High $194.98 | Professional | None | $85.11 | $144.54 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $173.78 | Facility | None | $120.23 | $147.91 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $346.74 | Professional | None | $204.17 | $269.15 | $346.74 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $245.47 Typical High $1,288.25 | Facility | None | $102.33 | $245.47 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $338.84 Typical High $1,071.52 | Professional | None | $169.82 | $338.84 | $1,071.52 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $380.19 | Professional | None | $239.88 | $316.23 | $380.19 |
Midlands Setting Facility Modifier None Typical Low $120.23 Median $151.36 Typical High $177.83 | Facility | None | $120.23 | $151.36 | $177.83 |
Midlands Setting Professional Modifier None Typical Low $177.83 Median $323.59 Typical High $436.52 | Professional | None | $177.83 | $323.59 | $436.52 |
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 $138.04 Median $229.09 Typical High $346.74 | Professional | None | $138.04 | $229.09 | $346.74 |
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 $47.86 Median $66.07 Typical High $81.28 | Professional | 52 · Reduced service | $47.86 | $66.07 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $26.30 Typical High $33.11 | Professional | 53 · Discontinued | $19.50 | $26.30 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $19.95 Typical High $24.55 | Professional | 55 · Aftercare only | $14.45 | $19.95 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $13.18 Typical High $16.60 | Professional | 56 · Pre-op care only | $9.55 | $13.18 | $16.60 |
Where Nebraska sits
The same service costs 4.0 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
$182
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.