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 $39.81 Median $39.81 Typical High $81.28 | Facility | None | $39.81 | $39.81 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $81.28 Typical High $83.18 | Professional | None | $39.81 | $81.28 | $83.18 |
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 $34.67 Median $61.66 Typical High $85.11 | Professional | None | $34.67 | $61.66 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $107.15 Typical High $128.82 | Facility | None | $85.11 | $107.15 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $162.18 Typical High $213.80 | Professional | None | $85.11 | $162.18 | $213.80 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $204.17 Typical High $1,288.25 | Facility | None | $74.13 | $204.17 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $204.17 Typical High $645.65 | Professional | None | $100.00 | $204.17 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $100.00 Median $190.55 Typical High $239.88 | Professional | None | $100.00 | $190.55 | $239.88 |
Midlands Setting Facility Modifier None Typical Low $85.11 Median $109.65 Typical High $131.83 | Facility | None | $85.11 | $109.65 | $131.83 |
Midlands Setting Professional Modifier None Typical Low $72.44 Median $151.36 Typical High $257.04 | Professional | None | $72.44 | $151.36 | $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 $56.23 Median $107.15 Typical High $204.17 | Professional | None | $56.23 | $107.15 | $204.17 |
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 $19.95 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $19.95 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $7.94 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $5.89 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $3.98 | $8.13 | $8.13 |
Where Nebraska sits
The same service costs 3.9 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· 27th of 51
$81.28
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.