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 $26.30 Median $26.30 Typical High $40.74 | Facility | None | $26.30 | $26.30 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $40.74 Typical High $44.67 | Professional | None | $26.30 | $40.74 | $44.67 |
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 $23.44 Median $39.81 Typical High $52.48 | Professional | None | $23.44 | $39.81 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $40.74 Typical High $45.71 | Facility | None | $33.11 | $40.74 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $107.15 | Professional | None | $57.54 | $85.11 | $107.15 |
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 $53.70 Median $109.65 Typical High $331.13 | Professional | None | $53.70 | $109.65 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $109.65 | Professional | None | $67.61 | $89.13 | $109.65 |
Midlands Setting Facility Modifier None Typical Low $33.11 Median $39.81 Typical High $50.12 | Facility | None | $33.11 | $39.81 | $50.12 |
Midlands Setting Professional Modifier None Typical Low $47.86 Median $89.13 Typical High $128.82 | Professional | None | $47.86 | $89.13 | $128.82 |
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 $38.90 Median $64.57 Typical High $107.15 | Professional | None | $38.90 | $64.57 | $107.15 |
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 $13.18 Median $20.42 Typical High $22.39 | Professional | 52 · Reduced service | $13.18 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $8.13 Typical High $9.12 | Professional | 53 · Discontinued | $5.25 | $8.13 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $6.17 Typical High $6.76 | Professional | 55 · Aftercare only | $3.89 | $6.17 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $4.07 Typical High $4.47 | Professional | 56 · Pre-op care only | $2.63 | $4.07 | $4.47 |
Where Nebraska sits
The same service costs 3.3 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· 22nd of 51
$51.29
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.