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 $169.82 Median $169.82 Typical High $954.99 | Professional | None | $169.82 | $169.82 | $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 $295.12 Median $407.38 Typical High $489.78 | Professional | None | $295.12 | $407.38 | $489.78 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $251.19 Typical High $1,348.96 | Facility | None | $114.82 | $251.19 | $1,348.96 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $389.05 Typical High $1,698.24 | Professional | None | $218.78 | $389.05 | $1,698.24 |
Midlands Setting Professional Modifier None Typical Low $295.12 Median $407.38 Typical High $537.03 | Professional | None | $295.12 | $407.38 | $537.03 |
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 $295.12 Median $363.08 Typical High $537.03 | Professional | None | $295.12 | $363.08 | $537.03 |
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 $218.78 Median $338.84 Typical High $446.68 | Professional | None | $218.78 | $338.84 | $446.68 |
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 $83.18 Median $83.18 Typical High $102.33 | Professional | 52 · Reduced service | $83.18 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $40.74 | Professional | 53 · Discontinued | $33.88 | $33.88 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $154.88 | Professional | 54 · Surgery only | $125.89 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $30.90 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $20.42 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $20.42 |
Where Nebraska sits
The same service costs 4.6 times more in Alaska than in Utah. 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
$363
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.