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 $125.89 Median $251.19 Typical High $1,445.44 | Professional | None | $125.89 | $251.19 | $1,445.44 |
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 $107.15 Median $190.55 Typical High $263.03 | Professional | None | $107.15 | $190.55 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $954.99 | Facility | None | $302.00 | $380.19 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $512.86 Typical High $645.65 | Professional | None | $288.40 | $512.86 | $645.65 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $257.04 Typical High $1,995.26 | Facility | None | $114.82 | $257.04 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $645.65 Typical High $2,344.23 | Professional | None | $363.08 | $645.65 | $2,344.23 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $549.54 Typical High $691.83 | Professional | None | $302.00 | $549.54 | $691.83 |
Midlands Setting Facility Modifier None Typical Low $309.03 Median $380.19 Typical High $954.99 | Facility | None | $309.03 | $380.19 | $954.99 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $512.86 Typical High $588.84 | Professional | None | $257.04 | $512.86 | $588.84 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $186.21 Median $354.81 Typical High $676.08 | Professional | None | $186.21 | $354.81 | $676.08 |
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 $61.66 Median $61.66 Typical High $125.89 | Professional | 52 · Reduced service | $61.66 | $61.66 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $50.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $93.33 Typical High $186.21 | Professional | 54 · Surgery only | $93.33 | $93.33 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $38.02 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $25.12 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $25.12 |
Where Nebraska sits
The same service costs 3.1 times more in Wisconsin 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
$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.