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 $117.49 Median $3,801.89 Typical High $11,481.54 | Facility | None | $117.49 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $117.49 Typical High $309.03 | Professional | None | $44.67 | $117.49 | $309.03 |
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 $39.81 Median $70.79 Typical High $95.50 | Professional | None | $39.81 | $70.79 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $208.93 | Facility | None | $138.04 | $177.83 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $257.04 Typical High $309.03 | Professional | None | $104.71 | $257.04 | $309.03 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $630.96 Typical High $2,290.87 | Facility | None | $229.09 | $630.96 | $2,290.87 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $309.03 Typical High $954.99 | Professional | None | $173.78 | $309.03 | $954.99 |
Midlands Setting Professional Modifier None Typical Low $112.20 Median $275.42 Typical High $363.08 | Professional | None | $112.20 | $275.42 | $363.08 |
Midlands Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $218.78 | Facility | None | $138.04 | $177.83 | $218.78 |
Midlands Setting Professional Modifier None Typical Low $95.50 Median $257.04 Typical High $371.54 | Professional | None | $95.50 | $257.04 | $371.54 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,754.23 | Facility | None | $467.74 | $851.14 | $2,754.23 |
United Setting Professional Modifier None Typical Low $67.61 Median $144.54 Typical High $309.03 | Professional | None | $67.61 | $144.54 | $309.03 |
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 $21.88 Median $50.12 Typical High $58.88 | Professional | 52 · Reduced service | $21.88 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $19.95 Typical High $23.44 | Professional | 53 · Discontinued | $8.91 | $19.95 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.11 Median $74.13 Typical High $89.13 | Professional | 54 · Surgery only | $33.11 | $74.13 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $15.14 Typical High $17.78 | Professional | 55 · Aftercare only | $6.61 | $15.14 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $10.00 Typical High $11.75 | Professional | 56 · Pre-op care only | $4.47 | $10.00 | $11.75 |
Where Nebraska sits
The same service costs 3.5 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· 33rd of 51
$105
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.