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 $40.74 Median $40.74 Typical High $60.26 | Facility | None | $40.74 | $40.74 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $60.26 Typical High $69.18 | Professional | None | $40.74 | $60.26 | $69.18 |
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 $35.48 Median $61.66 Typical High $81.28 | Professional | None | $35.48 | $61.66 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $61.66 Typical High $72.44 | Facility | None | $48.98 | $61.66 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $154.88 | Professional | None | $87.10 | $120.23 | $154.88 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $204.17 Typical High $1,288.25 | Facility | None | $72.44 | $204.17 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $151.36 Typical High $489.78 | Professional | None | $75.86 | $151.36 | $489.78 |
Midlands Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $165.96 | Professional | None | $102.33 | $134.90 | $165.96 |
Midlands Setting Facility Modifier None Typical Low $50.12 Median $63.10 Typical High $75.86 | Facility | None | $50.12 | $63.10 | $75.86 |
Midlands Setting Professional Modifier None Typical Low $74.13 Median $134.90 Typical High $194.98 | Professional | None | $74.13 | $134.90 | $194.98 |
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 $57.54 Median $100.00 Typical High $151.36 | Professional | None | $57.54 | $100.00 | $151.36 |
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 $30.20 Typical High $34.67 | Professional | 52 · Reduced service | $19.95 | $30.20 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $12.02 Typical High $13.80 | Professional | 53 · Discontinued | $8.13 | $12.02 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $8.91 Typical High $10.23 | Professional | 55 · Aftercare only | $6.03 | $8.91 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.03 Typical High $6.92 | Professional | 56 · Pre-op care only | $4.07 | $6.03 | $6.92 |
Where Nebraska sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 15th of 51
$77.62
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.