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 $251.19 Median $4,466.84 Typical High $11,481.54 | Facility | None | $251.19 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $251.19 Typical High $1,445.44 | Professional | None | $125.89 | $251.19 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $3,388.44 | Facility | None | $1,258.93 | $1,659.59 | $3,388.44 |
BCBS Nebraska Setting Professional Modifier None Typical Low $109.65 Median $194.98 Typical High $263.03 | Professional | None | $109.65 | $194.98 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $380.19 Typical High $954.99 | Facility | None | $288.40 | $380.19 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $524.81 Typical High $645.65 | Professional | None | $295.12 | $524.81 | $645.65 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $257.04 Typical High $4,365.16 | Facility | None | $114.82 | $257.04 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $602.56 Typical High $2,041.74 | Professional | None | $338.84 | $602.56 | $2,041.74 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $549.54 Typical High $676.08 | Professional | None | $302.00 | $549.54 | $676.08 |
Midlands Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $954.99 | Facility | None | $302.00 | $380.19 | $954.99 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $512.86 Typical High $588.84 | Professional | None | $257.04 | $512.86 | $588.84 |
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 $190.55 Median $338.84 Typical High $660.69 | Professional | None | $190.55 | $338.84 | $660.69 |
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 $63.10 Median $63.10 Typical High $125.89 | Professional | 52 · Reduced service | $63.10 | $63.10 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $50.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $95.50 Typical High $190.55 | Professional | 54 · Surgery only | $95.50 | $95.50 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $38.02 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $25.12 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $25.12 |
Where Nebraska sits
The same service costs 3.2 times more in Wisconsin 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
$245
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.