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 $190.55 Median $3,801.89 Typical High $11,481.54 | Facility | None | $190.55 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $190.55 Typical High $263.03 | Professional | None | $89.13 | $190.55 | $263.03 |
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 $79.43 Median $141.25 Typical High $194.98 | Professional | None | $79.43 | $141.25 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,949.84 Typical High $2,511.89 | Facility | None | $645.65 | $1,949.84 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $398.11 Typical High $489.78 | Professional | None | $213.80 | $398.11 | $489.78 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $1,819.70 Typical High $7,943.28 | Facility | None | $371.54 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $512.86 Typical High $1,548.82 | Professional | None | $263.03 | $512.86 | $1,548.82 |
Midlands Setting Professional Modifier None Typical Low $223.87 Median $398.11 Typical High $575.44 | Professional | None | $223.87 | $398.11 | $575.44 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $2,041.74 Typical High $2,630.27 | Facility | None | $645.65 | $2,041.74 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $186.21 Median $416.87 Typical High $575.44 | Professional | None | $186.21 | $416.87 | $575.44 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,174.90 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $138.04 Median $257.04 Typical High $501.19 | Professional | None | $138.04 | $257.04 | $501.19 |
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 $44.67 Median $89.13 Typical High $95.50 | Professional | 52 · Reduced service | $44.67 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $36.31 Typical High $38.02 | Professional | 53 · Discontinued | $17.78 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $134.90 Typical High $141.25 | Professional | 54 · Surgery only | $67.61 | $134.90 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $26.92 Typical High $28.18 | Professional | 55 · Aftercare only | $13.49 | $26.92 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $18.20 Typical High $19.05 | Professional | 56 · Pre-op care only | $8.91 | $18.20 | $19.05 |
Where Nebraska sits
The same service costs 4.0 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· 28th of 51
$195
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.