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 $331.13 Median $7,943.28 Typical High $21,877.62 | Facility | None | $331.13 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $616.60 | Professional | None | $331.13 | $331.13 | $616.60 |
BCBS Nebraska Setting Facility Modifier None Typical Low $9,549.93 Median $12,882.50 Typical High $25,703.96 | Facility | None | $9,549.93 | $12,882.50 | $25,703.96 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $1,096.48 | Professional | None | $645.65 | $851.14 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $794.33 Typical High $3,715.35 | Facility | None | $478.63 | $794.33 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $851.14 Typical High $2,754.23 | Professional | None | $524.81 | $851.14 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $1,122.02 | Professional | None | $645.65 | $851.14 | $1,122.02 |
Midlands Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,122.02 | Professional | None | $645.65 | $794.33 | $1,122.02 |
United Setting Facility Modifier None Typical Low $489.78 Median $891.25 Typical High $3,801.89 | Facility | None | $489.78 | $891.25 | $3,801.89 |
United Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $977.24 | Professional | None | $524.81 | $794.33 | $977.24 |
3 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 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | 54 · Surgery only | $251.19 | $251.19 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $60.26 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $39.81 |
Where Nebraska sits
The same service costs 4.4 times more in Alaska than in New Jersey. 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· 3rd of 51
$851
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.