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 $36.31 Typical High $58.88 | Facility | None | $26.30 | $36.31 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $33.11 Typical High $69.18 | Professional | None | $16.22 | $33.11 | $69.18 |
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 $14.13 Median $24.55 Typical High $32.36 | Professional | None | $14.13 | $24.55 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $23.99 Typical High $26.92 | Facility | None | $19.95 | $23.99 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $56.23 Typical High $69.18 | Professional | None | $36.31 | $56.23 | $69.18 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $194.98 Typical High $1,288.25 | Facility | None | $50.12 | $194.98 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $77.62 Typical High $208.93 | Professional | None | $35.48 | $77.62 | $208.93 |
Midlands Setting Professional Modifier None Typical Low $42.66 Median $56.23 Typical High $70.79 | Professional | None | $42.66 | $56.23 | $70.79 |
Midlands Setting Facility Modifier None Typical Low $19.50 Median $23.99 Typical High $33.11 | Facility | None | $19.50 | $23.99 | $33.11 |
Midlands Setting Professional Modifier None Typical Low $30.20 Median $56.23 Typical High $85.11 | Professional | None | $30.20 | $56.23 | $85.11 |
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 $23.99 Median $42.66 Typical High $75.86 | Professional | None | $23.99 | $42.66 | $75.86 |
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 $8.13 Median $13.18 Typical High $16.60 | Professional | 52 · Reduced service | $8.13 | $13.18 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $5.25 Typical High $6.61 | Professional | 53 · Discontinued | $3.24 | $5.25 | $6.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $3.98 Typical High $5.01 | Professional | 55 · Aftercare only | $2.45 | $3.98 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $2.63 Typical High $3.31 | Professional | 56 · Pre-op care only | $1.62 | $2.63 | $3.31 |
Where Nebraska sits
The same service costs 3.0 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· 29th of 51
$32.36
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.