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 $91.20 Median $3,801.89 Typical High $11,481.54 | Facility | None | $91.20 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $91.20 Typical High $239.88 | Professional | None | $27.54 | $91.20 | $239.88 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,630.78 Median $4,786.30 Typical High $9,772.37 | Facility | None | $3,630.78 | $4,786.30 | $9,772.37 |
BCBS Nebraska Setting Professional Modifier None Typical Low $23.99 Median $42.66 Typical High $58.88 | Professional | None | $23.99 | $42.66 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $158.49 Typical High $199.53 | Facility | None | $134.90 | $158.49 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $194.98 Typical High $239.88 | Professional | None | $66.07 | $194.98 | $239.88 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $213.80 Typical High $1,778.28 | Facility | None | $54.95 | $213.80 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $229.09 Typical High $812.83 | Professional | None | $138.04 | $229.09 | $812.83 |
Midlands Setting Professional Modifier None Typical Low $67.61 Median $199.53 Typical High $251.19 | Professional | None | $67.61 | $199.53 | $251.19 |
Midlands Setting Facility Modifier None Typical Low $134.90 Median $158.49 Typical High $213.80 | Facility | None | $134.90 | $158.49 | $213.80 |
Midlands Setting Professional Modifier None Typical Low $57.54 Median $190.55 Typical High $223.87 | Professional | None | $57.54 | $190.55 | $223.87 |
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 $45.71 Median $138.04 Typical High $281.84 | Professional | None | $45.71 | $138.04 | $281.84 |
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 $13.80 Median $13.80 Typical High $45.71 | Professional | 52 · Reduced service | $13.80 | $13.80 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $18.20 | Professional | 53 · Discontinued | $5.62 | $5.62 | $18.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $20.89 Median $20.89 Typical High $69.18 | Professional | 54 · Surgery only | $20.89 | $20.89 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $4.17 Typical High $13.80 | Professional | 55 · Aftercare only | $4.17 | $4.17 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $2.75 Typical High $9.12 | Professional | 56 · Pre-op care only | $2.75 | $2.75 | $9.12 |
Where Nebraska sits
The same service costs 5.4 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· 49th of 51
$57.54
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.