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 $239.88 Median $239.88 Typical High $1,071.52 | Professional | None | $239.88 | $239.88 | $1,071.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,715.35 Median $5,011.87 Typical High $10,232.93 | Facility | None | $3,715.35 | $5,011.87 | $10,232.93 |
BCBS Nebraska Setting Professional Modifier None Typical Low $3,890.45 Median $4,168.69 Typical High $5,495.41 | Professional | None | $3,890.45 | $4,168.69 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $5,495.41 Typical High $8,709.64 | Facility | None | $870.96 | $5,495.41 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $741.31 | Professional | None | $436.52 | $616.60 | $741.31 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $1,122.02 Typical High $8,912.51 | Facility | None | $575.44 | $1,122.02 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $616.60 Typical High $1,905.46 | Professional | None | $380.19 | $616.60 | $1,905.46 |
Midlands Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $812.83 | Professional | None | $457.09 | $616.60 | $812.83 |
Midlands Setting Facility Modifier None Typical Low $831.76 Median $5,888.44 Typical High $11,481.54 | Facility | None | $831.76 | $5,888.44 | $11,481.54 |
Midlands Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $812.83 | Professional | None | $457.09 | $575.44 | $812.83 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $7,585.78 | Facility | None | $707.95 | $1,445.44 | $7,585.78 |
United Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $707.95 | Professional | None | $380.19 | $575.44 | $707.95 |
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 $117.49 Median $117.49 Typical High $134.90 | Professional | 52 · Reduced service | $117.49 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $53.70 | Professional | 53 · Discontinued | $47.86 | $47.86 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $177.83 Typical High $204.17 | Professional | 54 · Surgery only | $177.83 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $40.74 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $26.92 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $26.92 |
Where Nebraska sits
The same service costs 4.3 times more in Alaska than in Florida. 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· 4th of 51
$617
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.