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 $676.08 Median $4,365.16 Typical High $11,481.54 | Facility | None | $676.08 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $1,513.56 Typical High $3,801.89 | Professional | None | $331.13 | $1,513.56 | $3,801.89 |
Ambetter Setting Professional Modifier None Typical Low $354.81 Median $588.84 Typical High $588.84 | Professional | None | $354.81 | $588.84 | $588.84 |
BCBS Nebraska Setting Facility Modifier None Typical Low $11,220.18 Median $15,135.61 Typical High $30,902.95 | Facility | None | $11,220.18 | $15,135.61 | $30,902.95 |
BCBS Nebraska Setting Professional Modifier None Typical Low $275.42 Median $478.63 Typical High $645.65 | Professional | None | $275.42 | $478.63 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $3,890.45 Typical High $4,677.35 | Professional | None | $741.31 | $3,890.45 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $5,754.40 Typical High $8,912.51 | Facility | None | $588.84 | $5,754.40 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $4,073.80 Typical High $14,454.40 | Professional | None | $2,344.23 | $4,073.80 | $14,454.40 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $4,265.80 Typical High $5,623.41 | Professional | None | $794.33 | $4,265.80 | $5,623.41 |
Midlands Setting Professional Modifier None Typical Low $676.08 Median $4,570.88 Typical High $5,623.41 | Professional | None | $676.08 | $4,570.88 | $5,623.41 |
United Setting Facility Modifier None Typical Low $6,918.31 Median $7,413.10 Typical High $9,772.37 | Facility | None | $6,918.31 | $7,413.10 | $9,772.37 |
United Setting Professional Modifier None Typical Low $489.78 Median $2,344.23 Typical High $4,677.35 | Professional | None | $489.78 | $2,344.23 | $4,677.35 |
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 $165.96 Median $281.84 Typical High $954.99 | Professional | 52 · Reduced service | $165.96 | $281.84 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $114.82 Typical High $380.19 | Professional | 53 · Discontinued | $67.61 | $114.82 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $426.58 Typical High $1,412.54 | Professional | 54 · Surgery only | $251.19 | $426.58 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $85.11 Typical High $281.84 | Professional | 55 · Aftercare only | $50.12 | $85.11 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $57.54 Typical High $190.55 | Professional | 56 · Pre-op care only | $33.11 | $57.54 | $190.55 |
Where Nebraska sits
The same service costs 6.2 times more in Washington 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
$631
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.