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 $1,659.59 Median $4,466.84 Typical High $11,481.54 | Facility | None | $1,659.59 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $1,445.44 Typical High $4,897.79 | Professional | None | $338.84 | $1,445.44 | $4,897.79 |
Ambetter Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $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 $281.84 Median $489.78 Typical High $645.65 | Professional | None | $281.84 | $489.78 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $3,801.89 Typical High $5,011.87 | Professional | None | $758.58 | $3,801.89 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $6,760.83 Typical High $9,772.37 | Facility | None | $616.60 | $6,760.83 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $2,691.53 Median $4,786.30 Typical High $14,454.40 | Professional | None | $2,691.53 | $4,786.30 | $14,454.40 |
Midlands Setting Professional Modifier None Typical Low $776.25 Median $3,890.45 Typical High $5,011.87 | Professional | None | $776.25 | $3,890.45 | $5,011.87 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $4,265.80 Typical High $6,309.57 | Professional | None | $691.83 | $4,265.80 | $6,309.57 |
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 $512.86 Median $2,511.89 Typical High $5,495.41 | Professional | None | $512.86 | $2,511.89 | $5,495.41 |
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 $169.82 Median $288.40 Typical High $933.25 | Professional | 52 · Reduced service | $169.82 | $288.40 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $114.82 Typical High $371.54 | Professional | 53 · Discontinued | $67.61 | $114.82 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $426.58 Typical High $1,412.54 | Professional | 54 · Surgery only | $257.04 | $426.58 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $85.11 Typical High $281.84 | Professional | 55 · Aftercare only | $51.29 | $85.11 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $57.54 Typical High $186.21 | Professional | 56 · Pre-op care only | $33.88 | $57.54 | $186.21 |
Where Nebraska sits
The same service costs 6.9 times more in Wisconsin than in Hawaii. 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· 49th 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.