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 $524.81 Median $4,466.84 Typical High $11,481.54 | Facility | None | $524.81 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $524.81 Typical High $870.96 | Professional | None | $117.49 | $524.81 | $870.96 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,348.96 Median $1,778.28 Typical High $3,630.78 | Facility | None | $1,348.96 | $1,778.28 | $3,630.78 |
BCBS Nebraska Setting Professional Modifier None Typical Low $97.72 Median $169.82 Typical High $223.87 | Professional | None | $97.72 | $169.82 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $1,071.52 Typical High $1,288.25 | Professional | None | $263.03 | $1,071.52 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $1,000.00 Typical High $4,365.16 | Facility | None | $208.93 | $1,000.00 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,174.90 Typical High $3,981.07 | Professional | None | $660.69 | $1,174.90 | $3,981.07 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $1,096.48 Typical High $1,348.96 | Professional | None | $269.15 | $1,096.48 | $1,348.96 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $1,096.48 Typical High $1,479.11 | Professional | None | $239.88 | $1,096.48 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $4,466.84 | Facility | None | $1,047.13 | $1,288.25 | $4,466.84 |
United Setting Professional Modifier None Typical Low $177.83 Median $616.60 Typical High $1,348.96 | Professional | None | $177.83 | $616.60 | $1,348.96 |
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 $58.88 Median $97.72 Typical High $263.03 | Professional | 52 · Reduced service | $58.88 | $97.72 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $39.81 Typical High $104.71 | Professional | 53 · Discontinued | $23.44 | $39.81 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $147.91 Typical High $389.05 | Professional | 54 · Surgery only | $89.13 | $147.91 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $29.51 Typical High $79.43 | Professional | 55 · Aftercare only | $17.78 | $29.51 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $19.95 Typical High $52.48 | Professional | 56 · Pre-op care only | $11.75 | $19.95 | $52.48 |
Where Nebraska sits
The same service costs 4.0 times more in Wisconsin than in Maryland. 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· 50th of 51
$214
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.