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 $2,238.72 Median $9,549.93 Typical High $21,877.62 | Facility | None | $2,238.72 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $2,187.76 Typical High $5,888.44 | Professional | None | $158.49 | $2,187.76 | $5,888.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,309.57 Median $8,317.64 Typical High $16,982.44 | Facility | None | $6,309.57 | $8,317.64 | $16,982.44 |
BCBS Nebraska Setting Professional Modifier None Typical Low $138.04 Median $239.88 Typical High $331.13 | Professional | None | $138.04 | $239.88 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $6,309.57 Median $7,244.36 Typical High $7,762.47 | Facility | None | $6,309.57 | $7,244.36 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $4,570.88 Typical High $6,309.57 | Professional | None | $363.08 | $4,570.88 | $6,309.57 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,691.53 Typical High $8,709.64 | Facility | None | $1,174.90 | $2,691.53 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $4,073.80 Median $6,165.95 Typical High $18,620.87 | Professional | None | $4,073.80 | $6,165.95 | $18,620.87 |
Midlands Setting Professional Modifier None Typical Low $363.08 Median $4,786.30 Typical High $6,309.57 | Professional | None | $363.08 | $4,786.30 | $6,309.57 |
Midlands Setting Facility Modifier None Typical Low $6,309.57 Median $7,079.46 Typical High $10,715.19 | Facility | None | $6,309.57 | $7,079.46 | $10,715.19 |
Midlands Setting Professional Modifier None Typical Low $323.59 Median $4,570.88 Typical High $5,248.07 | Professional | None | $323.59 | $4,570.88 | $5,248.07 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $7,585.78 | Facility | None | $1,380.38 | $3,019.95 | $7,585.78 |
United Setting Professional Modifier None Typical Low $245.47 Median $4,073.80 Typical High $7,762.47 | Professional | None | $245.47 | $4,073.80 | $7,762.47 |
5 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 $79.43 Median $79.43 Typical High $1,122.02 | Professional | 52 · Reduced service | $79.43 | $79.43 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $446.68 | Professional | 53 · Discontinued | $31.62 | $31.62 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $1,659.59 | Professional | 54 · Surgery only | $117.49 | $117.49 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $331.13 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $223.87 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $223.87 |
Where Nebraska sits
The same service costs 33.1 times more in Alaska 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· 47th of 51
$324
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.