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 $173.78 Median $3,801.89 Typical High $11,481.54 | Facility | None | $173.78 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $173.78 Typical High $234.42 | Professional | None | $74.13 | $173.78 | $234.42 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,162.28 Median $4,168.69 Typical High $8,511.38 | Facility | None | $3,162.28 | $4,168.69 | $8,511.38 |
BCBS Nebraska Setting Professional Modifier None Typical Low $66.07 Median $117.49 Typical High $162.18 | Professional | None | $66.07 | $117.49 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $245.47 Typical High $776.25 | Facility | None | $194.98 | $245.47 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $380.19 Typical High $457.09 | Professional | None | $177.83 | $380.19 | $457.09 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $954.99 Typical High $3,019.95 | Facility | None | $194.98 | $954.99 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $457.09 Typical High $1,412.54 | Professional | None | $269.15 | $457.09 | $1,412.54 |
Midlands Setting Professional Modifier None Typical Low $190.55 Median $426.58 Typical High $489.78 | Professional | None | $190.55 | $426.58 | $489.78 |
Midlands Setting Facility Modifier None Typical Low $194.98 Median $251.19 Typical High $776.25 | Facility | None | $194.98 | $251.19 | $776.25 |
Midlands Setting Professional Modifier None Typical Low $162.18 Median $389.05 Typical High $524.81 | Professional | None | $162.18 | $389.05 | $524.81 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,348.96 Typical High $3,162.28 | Facility | None | $707.95 | $1,348.96 | $3,162.28 |
United Setting Professional Modifier None Typical Low $117.49 Median $251.19 Typical High $478.63 | Professional | None | $117.49 | $251.19 | $478.63 |
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 $37.15 Median $87.10 Typical High $89.13 | Professional | 52 · Reduced service | $37.15 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $14.79 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $131.83 Typical High $131.83 | Professional | 54 · Surgery only | $56.23 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $11.22 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $17.38 Typical High $17.78 | Professional | 56 · Pre-op care only | $7.41 | $17.38 | $17.78 |
Where Nebraska sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 35th of 51
$174
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.