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 $199.53 Median $4,466.84 Typical High $11,481.54 | Facility | None | $199.53 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $199.53 Typical High $1,445.44 | Professional | None | $120.23 | $199.53 | $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 $104.71 Median $186.21 Typical High $257.04 | Professional | None | $104.71 | $186.21 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,187.76 Typical High $2,951.21 | Facility | None | $954.99 | $2,187.76 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $512.86 | Professional | None | $281.84 | $416.87 | $512.86 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $1,819.70 Typical High $7,943.28 | Facility | None | $380.19 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $489.78 Typical High $1,995.26 | Professional | None | $275.42 | $489.78 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $288.40 Median $426.58 Typical High $537.03 | Professional | None | $288.40 | $426.58 | $537.03 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $2,290.87 Typical High $3,162.28 | Facility | None | $954.99 | $2,290.87 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $245.47 Median $416.87 Typical High $478.63 | Professional | None | $245.47 | $416.87 | $478.63 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,623.41 | Facility | None | $1,174.90 | $1,862.09 | $5,623.41 |
United Setting Professional Modifier None Typical Low $181.97 Median $302.00 Typical High $524.81 | Professional | None | $181.97 | $302.00 | $524.81 |
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 $60.26 Median $60.26 Typical High $100.00 | Professional | 52 · Reduced service | $60.26 | $60.26 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $40.74 | Professional | 53 · Discontinued | $23.99 | $23.99 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $91.20 Typical High $151.36 | Professional | 54 · Surgery only | $91.20 | $91.20 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $30.20 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $19.95 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $19.95 |
Where Nebraska sits
The same service costs 3.7 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· 32nd 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.