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 $5,011.87 Typical High $11,481.54 | Facility | None | $1,659.59 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $1,318.26 | Professional | None | $107.15 | $107.15 | $1,318.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,606.93 Median $8,709.64 Typical High $17,782.79 | Facility | None | $6,606.93 | $8,709.64 | $17,782.79 |
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 $295.12 Median $407.38 Typical High $1,148.15 | Facility | None | $295.12 | $407.38 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $309.03 | Professional | None | $177.83 | $257.04 | $309.03 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $234.42 Typical High $1,584.89 | Facility | None | $102.33 | $234.42 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $251.19 Typical High $891.25 | Professional | None | $134.90 | $251.19 | $891.25 |
Midlands Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $331.13 | Professional | None | $177.83 | $257.04 | $331.13 |
Midlands Setting Facility Modifier None Typical Low $316.23 Median $407.38 Typical High $1,023.29 | Facility | None | $316.23 | $407.38 | $1,023.29 |
Midlands Setting Professional Modifier None Typical Low $181.97 Median $223.87 Typical High $331.13 | Professional | None | $181.97 | $223.87 | $331.13 |
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 $134.90 Median $208.93 Typical High $275.42 | Professional | None | $134.90 | $208.93 | $275.42 |
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 $53.70 Median $53.70 Typical High $64.57 | Professional | 52 · Reduced service | $53.70 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $25.70 | Professional | 53 · Discontinued | $21.38 | $21.38 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $79.43 Typical High $95.50 | Professional | 54 · Surgery only | $79.43 | $79.43 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $19.05 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $12.88 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $12.88 |
Where Nebraska sits
The same service costs 4.8 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
$251
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.