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 $676.08 Median $3,801.89 Typical High $11,481.54 | Facility | None | $676.08 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $676.08 Typical High $1,071.52 | Professional | None | $151.36 | $676.08 | $1,071.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,981.07 Median $5,248.07 Typical High $10,715.19 | Facility | None | $3,981.07 | $5,248.07 | $10,715.19 |
BCBS Nebraska Setting Professional Modifier None Typical Low $131.83 Median $229.09 Typical High $316.23 | Professional | None | $131.83 | $229.09 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $977.24 Typical High $1,202.26 | Facility | None | $575.44 | $977.24 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $1,412.54 Typical High $1,737.80 | Professional | None | $354.81 | $1,412.54 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $3,467.37 | Facility | None | $831.76 | $1,737.80 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,548.82 Typical High $5,495.41 | Professional | None | $933.25 | $1,548.82 | $5,495.41 |
Midlands Setting Professional Modifier None Typical Low $363.08 Median $1,513.56 Typical High $1,862.09 | Professional | None | $363.08 | $1,513.56 | $1,862.09 |
Midlands Setting Facility Modifier None Typical Low $524.81 Median $1,047.13 Typical High $1,202.26 | Facility | None | $524.81 | $1,047.13 | $1,202.26 |
Midlands Setting Professional Modifier None Typical Low $309.03 Median $1,380.38 Typical High $1,584.89 | Professional | None | $309.03 | $1,380.38 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,174.90 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $234.42 Median $933.25 Typical High $1,819.70 | Professional | None | $234.42 | $933.25 | $1,819.70 |
1 more rate 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 54 · Surgery only Typical Low $112.20 Median $112.20 Typical High $501.19 | Professional | 54 · Surgery only | $112.20 | $112.20 | $501.19 |
Where Nebraska sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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· 51st of 51
$316
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.