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 $69.18 Median $69.18 Typical High $100.00 | Facility | None | $69.18 | $69.18 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $117.49 | Professional | None | $69.18 | $100.00 | $117.49 |
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 $61.66 Median $104.71 Typical High $138.04 | Professional | None | $61.66 | $104.71 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $120.23 | Facility | None | $75.86 | $100.00 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $257.04 | Professional | None | $151.36 | $204.17 | $257.04 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $223.87 Typical High $1,288.25 | Facility | None | $97.72 | $223.87 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $239.88 Typical High $794.33 | Professional | None | $128.82 | $239.88 | $794.33 |
Midlands Setting Professional Modifier None Typical Low $177.83 Median $234.42 Typical High $288.40 | Professional | None | $177.83 | $234.42 | $288.40 |
Midlands Setting Facility Modifier None Typical Low $74.13 Median $102.33 Typical High $128.82 | Facility | None | $74.13 | $102.33 | $128.82 |
Midlands Setting Professional Modifier None Typical Low $128.82 Median $234.42 Typical High $323.59 | Professional | None | $128.82 | $234.42 | $323.59 |
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 $102.33 Median $165.96 Typical High $251.19 | Professional | None | $102.33 | $165.96 | $251.19 |
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 $34.67 Median $50.12 Typical High $58.88 | Professional | 52 · Reduced service | $34.67 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $19.95 Typical High $23.44 | Professional | 53 · Discontinued | $13.80 | $19.95 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.79 Typical High $17.78 | Professional | 55 · Aftercare only | $10.47 | $14.79 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $10.00 Typical High $11.75 | Professional | 56 · Pre-op care only | $6.92 | $10.00 | $11.75 |
Where Nebraska sits
The same service costs 3.8 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· 16th of 51
$129
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.