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 $323.59 Median $1,548.82 Typical High $10,964.78 | Facility | None | $323.59 | $1,548.82 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $575.44 Typical High $1,621.81 | Professional | None | $158.49 | $575.44 | $1,621.81 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,951.21 Median $3,981.07 Typical High $7,943.28 | Facility | None | $2,951.21 | $3,981.07 | $7,943.28 |
BCBS Nebraska Setting Professional Modifier None Typical Low $131.83 Median $229.09 Typical High $316.23 | Professional | None | $131.83 | $229.09 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $933.25 Typical High $1,071.52 | Facility | None | $741.31 | $933.25 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $1,348.96 Typical High $1,621.81 | Professional | None | $354.81 | $1,348.96 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,122.02 Typical High $3,019.95 | Facility | None | $588.84 | $1,122.02 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,479.11 Typical High $5,128.61 | Professional | None | $851.14 | $1,479.11 | $5,128.61 |
Midlands Setting Professional Modifier None Typical Low $371.54 Median $1,380.38 Typical High $1,698.24 | Professional | None | $371.54 | $1,380.38 | $1,698.24 |
Midlands Setting Facility Modifier None Typical Low $741.31 Median $933.25 Typical High $1,348.96 | Facility | None | $741.31 | $933.25 | $1,348.96 |
Midlands Setting Professional Modifier None Typical Low $323.59 Median $1,380.38 Typical High $1,862.09 | Professional | None | $323.59 | $1,380.38 | $1,862.09 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $239.88 Median $851.14 Typical High $1,621.81 | Professional | None | $239.88 | $851.14 | $1,621.81 |
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 $79.43 Median $134.90 Typical High $331.13 | Professional | 52 · Reduced service | $79.43 | $134.90 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $53.70 Typical High $131.83 | Professional | 53 · Discontinued | $31.62 | $53.70 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $199.53 Typical High $489.78 | Professional | 54 · Surgery only | $120.23 | $199.53 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $40.74 Typical High $97.72 | Professional | 55 · Aftercare only | $23.99 | $40.74 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $26.92 Typical High $66.07 | Professional | 56 · Pre-op care only | $15.85 | $26.92 | $66.07 |
Where Nebraska sits
The same service costs 5.2 times more in Wisconsin than in Hawaii. 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· 50th of 51
$316
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.