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 $151.36 Median $3,801.89 Typical High $11,481.54 | Facility | None | $151.36 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $151.36 Typical High $398.11 | Professional | None | $58.88 | $151.36 | $398.11 |
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 $52.48 Median $93.33 Typical High $128.82 | Professional | None | $52.48 | $93.33 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $257.04 | Facility | None | $147.91 | $186.21 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $316.23 Typical High $398.11 | Professional | None | $128.82 | $316.23 | $398.11 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $1,071.52 Typical High $3,019.95 | Facility | None | $181.97 | $1,071.52 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $398.11 Typical High $1,230.27 | Professional | None | $208.93 | $398.11 | $1,230.27 |
Midlands Setting Professional Modifier None Typical Low $147.91 Median $316.23 Typical High $457.09 | Professional | None | $147.91 | $316.23 | $457.09 |
Midlands Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $269.15 | Facility | None | $147.91 | $204.17 | $269.15 |
Midlands Setting Professional Modifier None Typical Low $125.89 Median $331.13 Typical High $457.09 | Professional | None | $125.89 | $331.13 | $457.09 |
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 $91.20 Median $190.55 Typical High $380.19 | Professional | None | $91.20 | $190.55 | $380.19 |
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 $29.51 Median $60.26 Typical High $75.86 | Professional | 52 · Reduced service | $29.51 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $23.99 Typical High $30.20 | Professional | 53 · Discontinued | $11.75 | $23.99 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $89.13 Typical High $112.20 | Professional | 54 · Surgery only | $44.67 | $89.13 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $17.78 Typical High $22.39 | Professional | 55 · Aftercare only | $8.91 | $17.78 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $12.02 Typical High $15.14 | Professional | 56 · Pre-op care only | $5.89 | $12.02 | $15.14 |
Where Nebraska sits
The same service costs 3.7 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· 33rd of 51
$138
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.