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 $1,548.82 Median $4,365.16 Typical High $11,481.54 | Facility | None | $1,548.82 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $1,071.52 | Professional | None | $123.03 | $123.03 | $1,071.52 |
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 $1,258.93 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,258.93 | $1,288.25 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,122.02 Typical High $1,548.82 | Facility | None | $645.65 | $1,122.02 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $416.87 | Professional | None | $239.88 | $316.23 | $416.87 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,348.96 Typical High $4,897.79 | Facility | None | $588.84 | $1,348.96 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $323.59 Typical High $1,862.09 | Professional | None | $194.98 | $323.59 | $1,862.09 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $416.87 | Professional | None | $239.88 | $316.23 | $416.87 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $1,230.27 Typical High $1,659.59 | Facility | None | $645.65 | $1,230.27 | $1,659.59 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $416.87 | Professional | None | $239.88 | $302.00 | $416.87 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,235.94 | Facility | None | $707.95 | $1,445.44 | $3,235.94 |
United Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $407.38 | Professional | None | $194.98 | $295.12 | $407.38 |
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 $61.66 Median $61.66 Typical High $77.62 | Professional | 52 · Reduced service | $61.66 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $30.90 | Professional | 53 · Discontinued | $24.55 | $24.55 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $93.33 Typical High $114.82 | Professional | 54 · Surgery only | $93.33 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $22.91 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $15.49 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $15.49 |
Where Nebraska sits
The same service costs 5.4 times more in Alaska 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· 5th 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.