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 $15.14 Median $15.14 Typical High $72.44 | Facility | None | $15.14 | $15.14 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $72.44 Typical High $74.13 | Professional | None | $15.14 | $72.44 | $74.13 |
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 $13.18 Median $23.44 Typical High $32.36 | Professional | None | $13.18 | $23.44 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $112.20 Typical High $128.82 | Facility | None | $95.50 | $112.20 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $151.36 Typical High $190.55 | Professional | None | $33.88 | $151.36 | $190.55 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $194.98 Typical High $1,000.00 | Facility | None | $72.44 | $194.98 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $194.98 Typical High $588.84 | Professional | None | $102.33 | $194.98 | $588.84 |
Midlands Setting Professional Modifier None Typical Low $39.81 Median $151.36 Typical High $186.21 | Professional | None | $39.81 | $151.36 | $186.21 |
Midlands Setting Facility Modifier None Typical Low $95.50 Median $112.20 Typical High $151.36 | Facility | None | $95.50 | $112.20 | $151.36 |
Midlands Setting Professional Modifier None Typical Low $27.54 Median $134.90 Typical High $257.04 | Professional | None | $27.54 | $134.90 | $257.04 |
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 $22.91 Median $102.33 Typical High $194.98 | Professional | None | $22.91 | $102.33 | $194.98 |
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 $7.59 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $7.59 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $3.02 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.29 Median $10.96 Typical High $10.96 | Professional | 55 · Aftercare only | $2.29 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.51 Median $7.24 Typical High $7.24 | Professional | 56 · Pre-op care only | $1.51 | $7.24 | $7.24 |
Where Nebraska sits
The same service costs 5.9 times more in Iowa 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· 46th of 51
$31.62
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.