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 $134.90 Median $1,548.82 Typical High $10,964.78 | Facility | None | $134.90 | $1,548.82 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $162.18 Typical High $363.08 | Professional | None | $66.07 | $162.18 | $363.08 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,862.09 Median $2,454.71 Typical High $5,128.61 | Facility | None | $1,862.09 | $2,454.71 | $5,128.61 |
BCBS Nebraska Setting Professional Modifier None Typical Low $54.95 Median $95.50 Typical High $128.82 | Professional | None | $54.95 | $95.50 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $331.13 Typical High $446.68 | Professional | None | $147.91 | $331.13 | $446.68 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $331.13 Typical High $4,365.16 | Facility | None | $117.49 | $331.13 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $436.52 Typical High $1,258.93 | Professional | None | $229.09 | $436.52 | $1,258.93 |
Midlands Setting Professional Modifier None Typical Low $165.96 Median $338.84 Typical High $446.68 | Professional | None | $165.96 | $338.84 | $446.68 |
Midlands Setting Professional Modifier None Typical Low $134.90 Median $338.84 Typical High $524.81 | Professional | None | $134.90 | $338.84 | $524.81 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $4,466.84 | Facility | None | $1,047.13 | $1,288.25 | $4,466.84 |
United Setting Professional Modifier None Typical Low $100.00 Median $229.09 Typical High $457.09 | Professional | None | $100.00 | $229.09 | $457.09 |
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 $33.11 Median $56.23 Typical High $81.28 | Professional | 52 · Reduced service | $33.11 | $56.23 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $22.39 Typical High $33.11 | Professional | 53 · Discontinued | $13.18 | $22.39 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $83.18 Typical High $123.03 | Professional | 54 · Surgery only | $48.98 | $83.18 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $16.60 Typical High $24.55 | Professional | 55 · Aftercare only | $10.00 | $16.60 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $11.22 Typical High $16.22 | Professional | 56 · Pre-op care only | $6.61 | $11.22 | $16.22 |
Where Nebraska sits
The same service costs 2.7 times more in Wisconsin 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· 50th of 51
$126
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.