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 $239.88 Median $4,466.84 Typical High $11,481.54 | Facility | None | $239.88 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $346.74 Typical High $630.96 | Professional | None | $154.88 | $346.74 | $630.96 |
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 $134.90 Median $239.88 Typical High $331.13 | Professional | None | $134.90 | $239.88 | $331.13 |
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 $363.08 Median $512.86 Typical High $616.60 | Professional | None | $363.08 | $512.86 | $616.60 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,174.90 Typical High $5,248.07 | Facility | None | $446.68 | $1,174.90 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $575.44 Typical High $2,187.76 | Professional | None | $323.59 | $575.44 | $2,187.76 |
Midlands Setting Professional Modifier None Typical Low $380.19 Median $512.86 Typical High $645.65 | Professional | None | $380.19 | $512.86 | $645.65 |
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 $323.59 Median $489.78 Typical High $562.34 | Professional | None | $323.59 | $489.78 | $562.34 |
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 $234.42 Median $398.11 Typical High $616.60 | Professional | None | $234.42 | $398.11 | $616.60 |
6 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 $77.62 Median $77.62 Typical High $120.23 | Professional | 52 · Reduced service | $77.62 | $77.62 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $47.86 | Professional | 53 · Discontinued | $30.90 | $30.90 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $181.97 | Professional | 54 · Surgery only | $117.49 | $117.49 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $36.31 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $23.99 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $23.99 |
Ambetter Setting Professional Modifier 79 · Unrelated procedure after surgery Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 79 · Unrelated procedure after surgery | $891.25 | $891.25 | $891.25 |
Where Nebraska sits
The same service costs 3.1 times more in Alaska than in New York. 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· 28th 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.