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 $208.93 Median $208.93 Typical High $1,071.52 | Professional | None | $208.93 | $208.93 | $1,071.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $7,413.10 | Facility | None | $2,691.53 | $3,630.78 | $7,413.10 |
BCBS Nebraska Setting Professional Modifier None Typical Low $912.01 Median $933.25 Typical High $1,047.13 | Professional | None | $912.01 | $933.25 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $1,174.90 | Facility | None | $758.58 | $954.99 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $676.08 | Professional | None | $398.11 | $537.03 | $676.08 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,122.02 Typical High $3,630.78 | Facility | None | $588.84 | $1,122.02 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $537.03 Typical High $1,698.24 | Professional | None | $331.13 | $537.03 | $1,698.24 |
Midlands Setting Professional Modifier None Typical Low $407.38 Median $537.03 Typical High $707.95 | Professional | None | $407.38 | $537.03 | $707.95 |
Midlands Setting Facility Modifier None Typical Low $758.58 Median $977.24 Typical High $1,584.89 | Facility | None | $758.58 | $977.24 | $1,584.89 |
Midlands Setting Professional Modifier None Typical Low $407.38 Median $501.19 Typical High $707.95 | Professional | None | $407.38 | $501.19 | $707.95 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $616.60 | Professional | None | $331.13 | $501.19 | $616.60 |
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 $104.71 Median $104.71 Typical High $134.90 | Professional | 52 · Reduced service | $104.71 | $104.71 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $53.70 | Professional | 53 · Discontinued | $41.69 | $41.69 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $154.88 Typical High $199.53 | Professional | 54 · Surgery only | $154.88 | $154.88 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $26.92 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $26.92 |
Where Nebraska sits
The same service costs 4.7 times more in Wyoming 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· 4th of 51
$537
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.