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 $93.33 Median $2,344.23 Typical High $10,964.78 | Facility | None | $93.33 | $2,344.23 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $114.82 Typical High $288.40 | Professional | None | $46.77 | $114.82 | $288.40 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $95.50 | Professional | None | $79.43 | $79.43 | $95.50 |
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 $38.02 Median $66.07 Typical High $91.20 | Professional | None | $38.02 | $66.07 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $223.87 Typical High $331.13 | Professional | None | $104.71 | $223.87 | $331.13 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $213.80 Typical High $4,365.16 | Facility | None | $83.18 | $213.80 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $309.03 Typical High $1,047.13 | Professional | None | $169.82 | $309.03 | $1,047.13 |
Midlands Setting Professional Modifier None Typical Low $107.15 Median $229.09 Typical High $331.13 | Professional | None | $107.15 | $229.09 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $93.33 Median $251.19 Typical High $371.54 | Professional | None | $93.33 | $251.19 | $371.54 |
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 $70.79 Median $141.25 Typical High $338.84 | Professional | None | $70.79 | $141.25 | $338.84 |
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 $23.44 Median $38.90 Typical High $54.95 | Professional | 52 · Reduced service | $23.44 | $38.90 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $15.49 Typical High $22.39 | Professional | 53 · Discontinued | $9.33 | $15.49 | $22.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $58.88 Typical High $83.18 | Professional | 54 · Surgery only | $34.67 | $58.88 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $11.75 Typical High $16.60 | Professional | 55 · Aftercare only | $6.92 | $11.75 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $7.76 Typical High $10.96 | Professional | 56 · Pre-op care only | $4.68 | $7.76 | $10.96 |
Where Nebraska sits
The same service costs 2.8 times more in Wisconsin than in Florida. 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
$87.10
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.