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 $812.83 Median $3,801.89 Typical High $11,481.54 | Facility | None | $812.83 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $812.83 Typical High $1,023.29 | Professional | None | $77.62 | $812.83 | $1,023.29 |
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 $69.18 Median $123.03 Typical High $169.82 | Professional | None | $69.18 | $123.03 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $933.25 Typical High $1,148.15 | Facility | None | $758.58 | $933.25 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $1,778.28 Typical High $2,137.96 | Professional | None | $186.21 | $1,778.28 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $1,122.02 Typical High $3,630.78 | Facility | None | $501.19 | $1,122.02 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,511.89 Typical High $6,918.31 | Professional | None | $1,348.96 | $2,511.89 | $6,918.31 |
Midlands Setting Professional Modifier None Typical Low $194.98 Median $2,041.74 Typical High $2,570.40 | Professional | None | $194.98 | $2,041.74 | $2,570.40 |
Midlands Setting Facility Modifier None Typical Low $758.58 Median $977.24 Typical High $1,202.26 | Facility | None | $758.58 | $977.24 | $1,202.26 |
Midlands Setting Professional Modifier None Typical Low $165.96 Median $1,819.70 Typical High $2,691.53 | Professional | None | $165.96 | $1,819.70 | $2,691.53 |
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 $120.23 Median $1,122.02 Typical High $2,344.23 | Professional | None | $120.23 | $1,122.02 | $2,344.23 |
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 $38.90 Median $123.03 Typical High $407.38 | Professional | 52 · Reduced service | $38.90 | $123.03 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $48.98 Typical High $165.96 | Professional | 53 · Discontinued | $15.49 | $48.98 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $186.21 Typical High $616.60 | Professional | 54 · Surgery only | $57.54 | $186.21 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $37.15 Typical High $123.03 | Professional | 55 · Aftercare only | $11.75 | $37.15 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $24.55 Typical High $81.28 | Professional | 56 · Pre-op care only | $7.76 | $24.55 | $81.28 |
Where Nebraska sits
The same service costs 14.1 times more in Washington than in Kentucky. 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· 46th of 51
$182
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.