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 $2,754.23 Median $7,585.78 Typical High $19,952.62 | Facility | None | $2,754.23 | $7,585.78 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $1,584.89 Typical High $2,754.23 | Professional | None | $239.88 | $1,584.89 | $2,754.23 |
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 $204.17 Median $363.08 Typical High $501.19 | Professional | None | $204.17 | $363.08 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $3,715.35 Typical High $4,677.35 | Facility | None | $2,818.38 | $3,715.35 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $5,888.44 Typical High $8,511.38 | Professional | None | $549.54 | $5,888.44 | $8,511.38 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,570.40 Typical High $8,709.64 | Facility | None | $1,148.15 | $2,570.40 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $4,677.35 Median $7,943.28 Typical High $22,908.68 | Professional | None | $4,677.35 | $7,943.28 | $22,908.68 |
Midlands Setting Professional Modifier None Typical Low $575.44 Median $5,888.44 Typical High $8,511.38 | Professional | None | $575.44 | $5,888.44 | $8,511.38 |
Midlands Setting Facility Modifier None Typical Low $3,311.31 Median $4,073.80 Typical High $5,888.44 | Facility | None | $3,311.31 | $4,073.80 | $5,888.44 |
Midlands Setting Professional Modifier None Typical Low $489.78 Median $5,623.41 Typical High $6,606.93 | Professional | None | $489.78 | $5,623.41 | $6,606.93 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,290.87 Typical High $8,709.64 | Facility | None | $1,288.25 | $2,290.87 | $8,709.64 |
United Setting Professional Modifier None Typical Low $363.08 Median $4,570.88 Typical High $8,912.51 | Professional | None | $363.08 | $4,570.88 | $8,912.51 |
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 $117.49 Median $117.49 Typical High $1,380.38 | Professional | 52 · Reduced service | $117.49 | $117.49 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $549.54 | Professional | 53 · Discontinued | $47.86 | $47.86 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $177.83 Typical High $2,041.74 | Professional | 54 · Surgery only | $177.83 | $177.83 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $416.87 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $275.42 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $275.42 |
Where Nebraska sits
The same service costs 10.2 times more in Alaska than in Nebraska. 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· 51st of 51
$490
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.