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 $1,548.82 Median $4,365.16 Typical High $11,481.54 | Facility | None | $1,548.82 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $954.99 | Professional | None | $48.98 | $48.98 | $954.99 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $3,019.95 | Facility | None | $1,096.48 | $1,479.11 | $3,019.95 |
BCBS Nebraska Setting Professional Modifier None Typical Low $338.84 Median $346.74 Typical High $380.19 | Professional | None | $338.84 | $346.74 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $363.08 Typical High $436.52 | Facility | None | $281.84 | $363.08 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $141.25 | Professional | None | $87.10 | $120.23 | $141.25 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $239.88 Typical High $1,348.96 | Facility | None | $97.72 | $239.88 | $1,348.96 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $123.03 Typical High $478.63 | Professional | None | $64.57 | $123.03 | $478.63 |
Midlands Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $158.49 | Professional | None | $87.10 | $120.23 | $158.49 |
Midlands Setting Facility Modifier None Typical Low $275.42 Median $363.08 Typical High $457.09 | Facility | None | $275.42 | $363.08 | $457.09 |
Midlands Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $158.49 | Professional | None | $87.10 | $107.15 | $158.49 |
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 $64.57 Median $107.15 Typical High $138.04 | Professional | None | $64.57 | $107.15 | $138.04 |
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 $24.55 Median $24.55 Typical High $30.20 | Professional | 52 · Reduced service | $24.55 | $24.55 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $12.30 | Professional | 53 · Discontinued | $9.77 | $9.77 | $12.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $37.15 Median $37.15 Typical High $45.71 | Professional | 54 · Surgery only | $37.15 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.41 Typical High $9.12 | Professional | 55 · Aftercare only | $7.41 | $7.41 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $6.03 | Professional | 56 · Pre-op care only | $4.90 | $4.90 | $6.03 |
Where Nebraska sits
The same service costs 4.2 times more in Alaska 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· 4th of 51
$120
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.