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 $1,548.82 Median $4,365.16 Typical High $11,481.54 | Facility | None | $1,548.82 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $1,071.52 | Professional | None | $102.33 | $102.33 | $1,071.52 |
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 $6,165.95 Median $6,165.95 Typical High $6,760.83 | Professional | None | $6,165.95 | $6,165.95 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $3,467.37 Typical High $7,762.47 | Facility | None | $645.65 | $3,467.37 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $263.03 Typical High $346.74 | Professional | None | $208.93 | $263.03 | $346.74 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $2,137.96 Typical High $12,022.64 | Facility | None | $1,071.52 | $2,137.96 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $263.03 Typical High $851.14 | Professional | None | $162.18 | $263.03 | $851.14 |
Midlands Setting Professional Modifier None Typical Low $208.93 Median $263.03 Typical High $346.74 | Professional | None | $208.93 | $263.03 | $346.74 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $3,801.89 Typical High $8,128.31 | Facility | None | $645.65 | $3,801.89 | $8,128.31 |
Midlands Setting Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $346.74 | Professional | None | $208.93 | $257.04 | $346.74 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $7,585.78 | Facility | None | $1,288.25 | $2,238.72 | $7,585.78 |
United Setting Professional Modifier None Typical Low $162.18 Median $234.42 Typical High $302.00 | Professional | None | $162.18 | $234.42 | $302.00 |
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 $51.29 Median $51.29 Typical High $61.66 | Professional | 52 · Reduced service | $51.29 | $51.29 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $24.55 | Professional | 53 · Discontinued | $20.89 | $20.89 | $24.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $77.62 Typical High $93.33 | Professional | 54 · Surgery only | $77.62 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.49 Typical High $18.62 | Professional | 55 · Aftercare only | $15.49 | $15.49 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.23 Typical High $12.30 | Professional | 56 · Pre-op care only | $10.23 | $10.23 | $12.30 |
Where Nebraska sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 4th of 51
$263
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.