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 $186.21 Median $3,801.89 Typical High $11,481.54 | Facility | None | $186.21 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $186.21 Typical High $416.87 | Professional | None | $79.43 | $186.21 | $416.87 |
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 $70.79 Median $125.89 Typical High $173.78 | Professional | None | $70.79 | $125.89 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $933.25 Typical High $1,174.90 | Facility | None | $645.65 | $933.25 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $398.11 Typical High $489.78 | Professional | None | $190.55 | $398.11 | $489.78 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $1,096.48 Typical High $3,630.78 | Facility | None | $371.54 | $1,096.48 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $501.19 Typical High $1,548.82 | Professional | None | $263.03 | $501.19 | $1,548.82 |
Midlands Setting Professional Modifier None Typical Low $199.53 Median $398.11 Typical High $575.44 | Professional | None | $199.53 | $398.11 | $575.44 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $933.25 Typical High $1,202.26 | Facility | None | $645.65 | $933.25 | $1,202.26 |
Midlands Setting Professional Modifier None Typical Low $169.82 Median $407.38 Typical High $575.44 | Professional | None | $169.82 | $407.38 | $575.44 |
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 $123.03 Median $251.19 Typical High $501.19 | Professional | None | $123.03 | $251.19 | $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 $39.81 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $39.81 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $37.15 Typical High $38.02 | Professional | 53 · Discontinued | $15.85 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $141.25 Typical High $141.25 | Professional | 54 · Surgery only | $60.26 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $12.02 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $7.94 | $18.62 | $18.62 |
Where Nebraska sits
The same service costs 4.2 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· 34th of 51
$186
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.