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 $1,288.25 Median $4,466.84 Typical High $11,481.54 | Facility | None | $1,288.25 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $1,288.25 Typical High $1,318.26 | Professional | None | $95.50 | $1,288.25 | $1,318.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,888.44 Median $9,549.93 Typical High $19,952.62 | Facility | None | $5,888.44 | $9,549.93 | $19,952.62 |
BCBS Nebraska Setting Professional Modifier None Typical Low $79.43 Median $134.90 Typical High $186.21 | Professional | None | $79.43 | $134.90 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $3,548.13 Typical High $4,466.84 | Facility | None | $2,754.23 | $3,548.13 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $2,511.89 Typical High $4,897.79 | Professional | None | $194.98 | $2,511.89 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,630.27 Typical High $8,709.64 | Facility | None | $1,202.26 | $2,630.27 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $3,235.94 Typical High $9,772.37 | Professional | None | $2,344.23 | $3,235.94 | $9,772.37 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $2,754.23 Typical High $4,897.79 | Professional | None | $213.80 | $2,754.23 | $4,897.79 |
Midlands Setting Facility Modifier None Typical Low $2,570.40 Median $3,548.13 Typical High $4,466.84 | Facility | None | $2,570.40 | $3,548.13 | $4,466.84 |
Midlands Setting Professional Modifier None Typical Low $194.98 Median $2,630.27 Typical High $2,884.03 | Professional | None | $194.98 | $2,630.27 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $6,606.93 | Facility | None | $1,380.38 | $3,019.95 | $6,606.93 |
United Setting Professional Modifier None Typical Low $144.54 Median $2,344.23 Typical High $3,890.45 | Professional | None | $144.54 | $2,344.23 | $3,890.45 |
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 $47.86 Median $47.86 Typical High $645.65 | Professional | 52 · Reduced service | $47.86 | $47.86 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $257.04 | Professional | 53 · Discontinued | $19.05 | $19.05 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $70.79 Typical High $954.99 | Professional | 54 · Surgery only | $70.79 | $70.79 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $190.55 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $128.82 | Professional | 56 · Pre-op care only | $9.55 | $9.55 | $128.82 |
Where Nebraska sits
The same service costs 19.1 times more in Alaska than in Nebraska. 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· 51st of 51
$178
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.