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 $17.38 Median $17.38 Typical High $32.36 | Facility | None | $17.38 | $17.38 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $32.36 Typical High $50.12 | Professional | None | $17.38 | $32.36 | $50.12 |
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 $26.92 Typical High $38.02 | Professional | None | $15.14 | $26.92 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $44.67 | Facility | None | $30.20 | $30.20 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $67.61 Typical High $83.18 | Professional | None | $38.90 | $67.61 | $83.18 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $190.55 Typical High $1,288.25 | Facility | None | $54.95 | $190.55 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $100.00 Typical High $323.59 | Professional | None | $43.65 | $100.00 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $45.71 Median $70.79 Typical High $89.13 | Professional | None | $45.71 | $70.79 | $89.13 |
Midlands Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $44.67 | Facility | None | $30.20 | $30.20 | $44.67 |
Midlands Setting Professional Modifier None Typical Low $32.36 Median $60.26 Typical High $109.65 | Professional | None | $32.36 | $60.26 | $109.65 |
United Setting Facility Modifier None Typical Low $104.71 Median $223.87 Typical High $1,230.27 | Facility | None | $104.71 | $223.87 | $1,230.27 |
United Setting Professional Modifier None Typical Low $26.30 Median $48.98 Typical High $93.33 | Professional | None | $26.30 | $48.98 | $93.33 |
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 $8.71 Median $16.22 Typical High $25.12 | Professional | 52 · Reduced service | $8.71 | $16.22 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $6.46 Typical High $10.00 | Professional | 53 · Discontinued | $3.47 | $6.46 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $4.79 Typical High $7.41 | Professional | 55 · Aftercare only | $2.63 | $4.79 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $3.24 Typical High $5.01 | Professional | 56 · Pre-op care only | $1.74 | $3.24 | $5.01 |
Where Nebraska sits
The same service costs 3.8 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· 40th of 51
$34.67
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.