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 $74.13 Median $74.13 Typical High $114.82 | Facility | None | $74.13 | $74.13 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $114.82 Typical High $125.89 | Professional | None | $74.13 | $114.82 | $125.89 |
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 $64.57 Median $112.20 Typical High $147.91 | Professional | None | $64.57 | $112.20 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $151.36 | Facility | None | $100.00 | $125.89 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $234.42 Typical High $302.00 | Professional | None | $162.18 | $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 $288.40 Typical High $912.01 | Professional | None | $144.54 | $288.40 | $912.01 |
Midlands Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $338.84 | Professional | None | $190.55 | $269.15 | $338.84 |
Midlands Setting Facility Modifier None Typical Low $100.00 Median $128.82 Typical High $154.88 | Facility | None | $100.00 | $128.82 | $154.88 |
Midlands Setting Professional Modifier None Typical Low $138.04 Median $251.19 Typical High $371.54 | Professional | None | $138.04 | $251.19 | $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 $107.15 Median $181.97 Typical High $295.12 | Professional | None | $107.15 | $181.97 | $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 $37.15 Median $57.54 Typical High $63.10 | Professional | 52 · Reduced service | $37.15 | $57.54 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $22.91 Typical High $25.12 | Professional | 53 · Discontinued | $14.79 | $22.91 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $17.38 Typical High $19.05 | Professional | 55 · Aftercare only | $11.22 | $17.38 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $11.48 Typical High $12.59 | Professional | 56 · Pre-op care only | $7.41 | $11.48 | $12.59 |
Where Nebraska sits
The same service costs 3.5 times more in Alaska than in Maryland. 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
$145
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.