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 $380.19 Median $3,801.89 Typical High $11,481.54 | Facility | None | $380.19 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $380.19 Typical High $501.19 | Professional | None | $144.54 | $380.19 | $501.19 |
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 $131.83 Median $234.42 Typical High $323.59 | Professional | None | $131.83 | $234.42 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,202.26 Typical High $1,548.82 | Facility | None | $645.65 | $1,202.26 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $794.33 Typical High $977.24 | Professional | None | $346.74 | $794.33 | $977.24 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,122.02 Typical High $4,897.79 | Facility | None | $588.84 | $1,122.02 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,047.13 Typical High $3,090.30 | Professional | None | $562.34 | $1,047.13 | $3,090.30 |
Midlands Setting Professional Modifier None Typical Low $371.54 Median $891.25 Typical High $1,174.90 | Professional | None | $371.54 | $891.25 | $1,174.90 |
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 $316.23 Median $831.76 Typical High $1,174.90 | Professional | None | $316.23 | $831.76 | $1,174.90 |
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 $229.09 Median $512.86 Typical High $1,000.00 | Professional | None | $229.09 | $512.86 | $1,000.00 |
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 $72.44 Median $181.97 Typical High $190.55 | Professional | 52 · Reduced service | $72.44 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $72.44 Typical High $75.86 | Professional | 53 · Discontinued | $29.51 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $269.15 Typical High $281.84 | Professional | 54 · Surgery only | $109.65 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $53.70 Typical High $56.23 | Professional | 55 · Aftercare only | $21.88 | $53.70 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $36.31 Typical High $38.02 | Professional | 56 · Pre-op care only | $14.45 | $36.31 | $38.02 |
Where Nebraska sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 36th of 51
$347
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.