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 $144.54 Median $3,801.89 Typical High $11,481.54 | Facility | None | $144.54 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $144.54 Typical High $181.97 | Professional | None | $37.15 | $144.54 | $181.97 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,168.69 Median $5,495.41 Typical High $11,220.18 | Facility | None | $4,168.69 | $5,495.41 | $11,220.18 |
BCBS Nebraska Setting Professional Modifier None Typical Low $33.88 Median $60.26 Typical High $83.18 | Professional | None | $33.88 | $60.26 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $141.25 Typical High $177.83 | Facility | None | $74.13 | $141.25 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $316.23 Typical High $380.19 | Professional | None | $89.13 | $316.23 | $380.19 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $630.96 Typical High $2,290.87 | Facility | None | $151.36 | $630.96 | $2,290.87 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $407.38 Typical High $1,202.26 | Professional | None | $218.78 | $407.38 | $1,202.26 |
Midlands Setting Professional Modifier None Typical Low $93.33 Median $354.81 Typical High $416.87 | Professional | None | $93.33 | $354.81 | $416.87 |
Midlands Setting Facility Modifier None Typical Low $74.13 Median $141.25 Typical High $177.83 | Facility | None | $74.13 | $141.25 | $177.83 |
Midlands Setting Professional Modifier None Typical Low $79.43 Median $316.23 Typical High $446.68 | Professional | None | $79.43 | $316.23 | $446.68 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,754.23 | Facility | None | $467.74 | $851.14 | $2,754.23 |
United Setting Professional Modifier None Typical Low $56.23 Median $173.78 Typical High $389.05 | Professional | None | $56.23 | $173.78 | $389.05 |
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 $18.62 Median $57.54 Typical High $72.44 | Professional | 52 · Reduced service | $18.62 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $23.44 Typical High $28.84 | Professional | 53 · Discontinued | $7.59 | $23.44 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.18 Median $87.10 Typical High $109.65 | Professional | 54 · Surgery only | $28.18 | $87.10 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $17.38 Typical High $21.88 | Professional | 55 · Aftercare only | $5.62 | $17.38 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $11.75 Typical High $14.45 | Professional | 56 · Pre-op care only | $3.80 | $11.75 | $14.45 |
Where Nebraska sits
The same service costs 4.6 times more in Wisconsin 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· 45th of 51
$83.18
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.