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 $288.40 Median $4,466.84 Typical High $11,481.54 | Facility | None | $288.40 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $288.40 Typical High $1,445.44 | Professional | None | $151.36 | $288.40 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,623.41 Median $7,413.10 Typical High $15,135.61 | Facility | None | $5,623.41 | $7,413.10 | $15,135.61 |
BCBS Nebraska Setting Professional Modifier None Typical Low $128.82 Median $229.09 Typical High $316.23 | Professional | None | $128.82 | $229.09 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,148.15 Typical High $1,513.56 | Facility | None | $645.65 | $1,148.15 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $602.56 Typical High $741.31 | Professional | None | $346.74 | $602.56 | $741.31 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,122.02 Typical High $4,466.84 | Facility | None | $549.54 | $1,122.02 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $691.83 Typical High $2,290.87 | Professional | None | $389.05 | $691.83 | $2,290.87 |
Midlands Setting Professional Modifier None Typical Low $363.08 Median $616.60 Typical High $776.25 | Professional | None | $363.08 | $616.60 | $776.25 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $1,202.26 Typical High $1,778.28 | Facility | None | $645.65 | $1,202.26 | $1,778.28 |
Midlands Setting Professional Modifier None Typical Low $309.03 Median $588.84 Typical High $676.08 | Professional | None | $309.03 | $588.84 | $676.08 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $223.87 Median $389.05 Typical High $741.31 | Professional | None | $223.87 | $389.05 | $741.31 |
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 $74.13 Median $74.13 Typical High $144.54 | Professional | 52 · Reduced service | $74.13 | $74.13 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $57.54 | Professional | 53 · Discontinued | $30.20 | $30.20 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $112.20 Typical High $213.80 | Professional | 54 · Surgery only | $112.20 | $112.20 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $43.65 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $28.84 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $28.84 |
Where Nebraska sits
The same service costs 3.9 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· 41st of 51
$309
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.