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 $67.61 Median $3,801.89 Typical High $11,481.54 | Facility | None | $67.61 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $67.61 Typical High $1,071.52 | Professional | None | $36.31 | $67.61 | $1,071.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $6,165.95 | Facility | None | $2,290.87 | $3,019.95 | $6,165.95 |
BCBS Nebraska Setting Professional Modifier None Typical Low $31.62 Median $56.23 Typical High $72.44 | Professional | None | $31.62 | $56.23 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $64.57 Typical High $81.28 | Facility | None | $52.48 | $64.57 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $141.25 Typical High $177.83 | Professional | None | $85.11 | $141.25 | $177.83 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $223.87 Typical High $1,000.00 | Facility | None | $67.61 | $223.87 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $549.54 | Professional | None | $91.20 | $144.54 | $549.54 |
Midlands Setting Professional Modifier None Typical Low $87.10 Median $147.91 Typical High $186.21 | Professional | None | $87.10 | $147.91 | $186.21 |
Midlands Setting Facility Modifier None Typical Low $52.48 Median $69.18 Typical High $85.11 | Facility | None | $52.48 | $69.18 | $85.11 |
Midlands Setting Professional Modifier None Typical Low $74.13 Median $141.25 Typical High $162.18 | Professional | None | $74.13 | $141.25 | $162.18 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $56.23 Median $95.50 Typical High $169.82 | Professional | None | $56.23 | $95.50 | $169.82 |
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 $26.92 Median $26.92 Typical High $51.29 | Professional | 54 · Surgery only | $26.92 | $26.92 | $51.29 |
Where Nebraska sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 42nd of 51
$69.18
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.