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 $112.20 Median $251.19 Typical High $1,445.44 | Professional | None | $112.20 | $251.19 | $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 $97.72 Median $169.82 Typical High $234.42 | Professional | None | $97.72 | $169.82 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,513.56 | Facility | None | $912.01 | $1,174.90 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $512.86 Typical High $630.96 | Professional | None | $263.03 | $512.86 | $630.96 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $1,122.02 Typical High $4,466.84 | Facility | None | $478.63 | $1,122.02 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $602.56 Typical High $1,995.26 | Professional | None | $346.74 | $602.56 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $537.03 Typical High $660.69 | Professional | None | $269.15 | $537.03 | $660.69 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,778.28 | Facility | None | $954.99 | $1,202.26 | $1,778.28 |
Midlands Setting Professional Modifier None Typical Low $229.09 Median $512.86 Typical High $588.84 | Professional | None | $229.09 | $512.86 | $588.84 |
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 $165.96 Median $346.74 Typical High $630.96 | Professional | None | $165.96 | $346.74 | $630.96 |
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 $56.23 Median $56.23 Typical High $125.89 | Professional | 52 · Reduced service | $56.23 | $56.23 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $50.12 | Professional | 53 · Discontinued | $22.39 | $22.39 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $186.21 | Professional | 54 · Surgery only | $83.18 | $83.18 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $37.15 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $25.12 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $25.12 |
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· 46th of 51
$234
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.