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 $109.65 Median $3,801.89 Typical High $11,481.54 | Facility | None | $109.65 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $162.18 Typical High $288.40 | Professional | None | $66.07 | $162.18 | $288.40 |
BCBS Nebraska Setting Facility Modifier None Typical Low $338.84 Median $446.68 Typical High $912.01 | Facility | None | $338.84 | $446.68 | $912.01 |
BCBS Nebraska Setting Professional Modifier None Typical Low $56.23 Median $100.00 Typical High $134.90 | Professional | None | $56.23 | $100.00 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $234.42 Typical High $281.84 | Professional | None | $151.36 | $234.42 | $281.84 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $1,047.13 Typical High $4,365.16 | Facility | None | $123.03 | $1,047.13 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $251.19 Typical High $3,548.13 | Professional | None | $138.04 | $251.19 | $3,548.13 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $234.42 Typical High $295.12 | Professional | None | $158.49 | $234.42 | $295.12 |
Midlands Setting Professional Modifier None Typical Low $141.25 Median $239.88 Typical High $295.12 | Professional | None | $141.25 | $239.88 | $295.12 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $4,466.84 | Facility | None | $1,047.13 | $1,288.25 | $4,466.84 |
United Setting Professional Modifier None Typical Low $95.50 Median $165.96 Typical High $275.42 | Professional | None | $95.50 | $165.96 | $275.42 |
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 $33.11 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $33.11 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $20.89 Typical High $21.88 | Professional | 53 · Discontinued | $13.18 | $20.89 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $77.62 Typical High $81.28 | Professional | 54 · Surgery only | $48.98 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $15.49 Typical High $16.60 | Professional | 55 · Aftercare only | $9.77 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $10.47 Typical High $10.96 | Professional | 56 · Pre-op care only | $6.61 | $10.47 | $10.96 |
Where Nebraska sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 23rd of 51
$129
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.