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 $741.31 Median $4,466.84 Typical High $11,481.54 | Facility | None | $741.31 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $741.31 Typical High $1,258.93 | Professional | None | $190.55 | $741.31 | $1,258.93 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,951.21 Median $3,981.07 Typical High $7,943.28 | Facility | None | $2,951.21 | $3,981.07 | $7,943.28 |
BCBS Nebraska Setting Professional Modifier None Typical Low $169.82 Median $295.12 Typical High $389.05 | Professional | None | $169.82 | $295.12 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $1,621.81 Typical High $1,949.84 | Professional | None | $457.09 | $1,621.81 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $1,698.24 Typical High $8,709.64 | Facility | None | $363.08 | $1,698.24 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $1,778.28 Typical High $6,165.95 | Professional | None | $1,202.26 | $1,778.28 | $6,165.95 |
Midlands Setting Professional Modifier None Typical Low $467.74 Median $1,621.81 Typical High $1,995.26 | Professional | None | $467.74 | $1,621.81 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $416.87 Median $1,778.28 Typical High $2,398.83 | Professional | None | $416.87 | $1,778.28 | $2,398.83 |
United Setting Facility Modifier None Typical Low $4,677.35 Median $6,309.57 Typical High $8,912.51 | Facility | None | $4,677.35 | $6,309.57 | $8,912.51 |
United Setting Professional Modifier None Typical Low $331.13 Median $1,000.00 Typical High $2,089.30 | Professional | None | $331.13 | $1,000.00 | $2,089.30 |
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 $95.50 Median $173.78 Typical High $371.54 | Professional | 52 · Reduced service | $95.50 | $173.78 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $69.18 Typical High $147.91 | Professional | 53 · Discontinued | $38.02 | $69.18 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $263.03 Typical High $562.34 | Professional | 54 · Surgery only | $144.54 | $263.03 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $52.48 Typical High $112.20 | Professional | 55 · Aftercare only | $28.84 | $52.48 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $34.67 Typical High $74.13 | Professional | 56 · Pre-op care only | $19.05 | $34.67 | $74.13 |
Where Nebraska sits
The same service costs 5.4 times more in Wisconsin than in Maryland. 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· 49th of 51
$380
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.