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 $114.82 Median $114.82 Typical High $954.99 | Professional | None | $114.82 | $114.82 | $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 $213.80 Median $281.84 Typical High $331.13 | Professional | None | $213.80 | $281.84 | $331.13 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $245.47 Typical High $1,348.96 | Facility | None | $109.65 | $245.47 | $1,348.96 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $281.84 Typical High $1,737.80 | Professional | None | $151.36 | $281.84 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $371.54 | Professional | None | $213.80 | $281.84 | $371.54 |
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 $213.80 Median $269.15 Typical High $371.54 | Professional | None | $213.80 | $269.15 | $371.54 |
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 $151.36 Median $245.47 Typical High $323.59 | Professional | None | $151.36 | $245.47 | $323.59 |
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 $57.54 Median $57.54 Typical High $75.86 | Professional | 52 · Reduced service | $57.54 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $30.20 | Professional | 53 · Discontinued | $22.91 | $22.91 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $87.10 Typical High $112.20 | Professional | 54 · Surgery only | $87.10 | $87.10 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $22.91 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $15.14 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $15.14 |
Where Nebraska sits
The same service costs 5.1 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
$282
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.