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 $79.43 Median $79.43 Typical High $117.49 | Facility | None | $79.43 | $79.43 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $117.49 Typical High $134.90 | Professional | None | $79.43 | $117.49 | $134.90 |
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 $70.79 Median $123.03 Typical High $158.49 | Professional | None | $70.79 | $123.03 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $141.25 Typical High $165.96 | Facility | None | $112.20 | $141.25 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $302.00 | Professional | None | $169.82 | $234.42 | $302.00 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $234.42 Typical High $1,288.25 | Facility | None | $102.33 | $234.42 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $295.12 Typical High $933.25 | Professional | None | $144.54 | $295.12 | $933.25 |
Midlands Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $338.84 | Professional | None | $199.53 | $275.42 | $338.84 |
Midlands Setting Facility Modifier None Typical Low $112.20 Median $144.54 Typical High $173.78 | Facility | None | $112.20 | $144.54 | $173.78 |
Midlands Setting Professional Modifier None Typical Low $147.91 Median $269.15 Typical High $371.54 | Professional | None | $147.91 | $269.15 | $371.54 |
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 $112.20 Median $194.98 Typical High $295.12 | Professional | None | $112.20 | $194.98 | $295.12 |
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 $39.81 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $39.81 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $15.85 | $23.44 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $17.38 Typical High $20.42 | Professional | 55 · Aftercare only | $12.02 | $17.38 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $11.75 Typical High $13.49 | Professional | 56 · Pre-op care only | $7.94 | $11.75 | $13.49 |
Where Nebraska sits
The same service costs 3.6 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· 17th of 51
$151
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.