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 $199.53 Median $3,801.89 Typical High $11,481.54 | Facility | None | $199.53 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $199.53 Typical High $269.15 | Professional | None | $100.00 | $199.53 | $269.15 |
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 $91.20 Median $162.18 Typical High $223.87 | Professional | None | $91.20 | $162.18 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $933.25 Typical High $1,148.15 | Facility | None | $645.65 | $933.25 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $416.87 Typical High $512.86 | Professional | None | $239.88 | $416.87 | $512.86 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $1,096.48 Typical High $3,630.78 | Facility | None | $389.05 | $1,096.48 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $537.03 Typical High $1,621.81 | Professional | None | $281.84 | $537.03 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $436.52 Typical High $588.84 | Professional | None | $257.04 | $436.52 | $588.84 |
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 $218.78 Median $436.52 Typical High $588.84 | Professional | None | $218.78 | $436.52 | $588.84 |
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 $158.49 Median $281.84 Typical High $524.81 | Professional | None | $158.49 | $281.84 | $524.81 |
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 $50.12 Median $95.50 Typical High $100.00 | Professional | 52 · Reduced service | $50.12 | $95.50 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $38.90 Typical High $39.81 | Professional | 53 · Discontinued | $19.95 | $38.90 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $144.54 Typical High $147.91 | Professional | 54 · Surgery only | $75.86 | $144.54 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $28.84 Typical High $29.51 | Professional | 55 · Aftercare only | $15.14 | $28.84 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $19.50 Typical High $19.95 | Professional | 56 · Pre-op care only | $10.00 | $19.50 | $19.95 |
Where Nebraska sits
The same service costs 3.8 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· 23rd of 51
$224
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.