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 $26.30 Median $33.11 Typical High $60.26 | Facility | None | $26.30 | $33.11 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $27.54 | Professional | None | $14.79 | $14.79 | $27.54 |
BCBS Nebraska Setting Facility Modifier None Typical Low $169.82 Median $489.78 Typical High $1,023.29 | Facility | None | $169.82 | $489.78 | $1,023.29 |
BCBS Nebraska Setting Professional Modifier None Typical Low $12.30 Median $21.38 Typical High $28.18 | Professional | None | $12.30 | $21.38 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $56.23 Typical High $70.79 | Professional | None | $30.20 | $56.23 | $70.79 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $128.82 Typical High $1,000.00 | Facility | None | $37.15 | $128.82 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $57.54 Typical High $204.17 | Professional | None | $37.15 | $57.54 | $204.17 |
Midlands Setting Professional Modifier None Typical Low $33.11 Median $54.95 Typical High $89.13 | Professional | None | $33.11 | $54.95 | $89.13 |
Midlands Setting Professional Modifier None Typical Low $30.20 Median $54.95 Typical High $61.66 | Professional | None | $30.20 | $54.95 | $61.66 |
United Setting Facility Modifier None Typical Low $104.71 Median $223.87 Typical High $1,230.27 | Facility | None | $104.71 | $223.87 | $1,230.27 |
United Setting Professional Modifier None Typical Low $22.91 Median $39.81 Typical High $72.44 | Professional | None | $22.91 | $39.81 | $72.44 |
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 $7.41 Median $7.41 Typical High $13.49 | Professional | 52 · Reduced service | $7.41 | $7.41 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $5.50 | Professional | 53 · Discontinued | $2.95 | $2.95 | $5.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $11.22 Median $11.22 Typical High $20.42 | Professional | 54 · Surgery only | $11.22 | $11.22 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $2.24 Typical High $4.07 | Professional | 55 · Aftercare only | $2.24 | $2.24 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.48 Median $1.48 Typical High $2.75 | Professional | 56 · Pre-op care only | $1.48 | $1.48 | $2.75 |
Where Nebraska sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 49th of 51
$27.54
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.