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 $40.74 Median $3,548.13 Typical High $11,481.54 | Facility | None | $40.74 | $3,548.13 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $52.48 Typical High $107.15 | Professional | None | $23.44 | $52.48 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $87.10 Typical High $87.10 | Professional | None | $72.44 | $87.10 | $87.10 |
BCBS Nebraska Setting Facility Modifier None Typical Low $363.08 Median $489.78 Typical High $977.24 | Facility | None | $363.08 | $489.78 | $977.24 |
BCBS Nebraska Setting Professional Modifier None Typical Low $20.42 Median $36.31 Typical High $50.12 | Professional | None | $20.42 | $36.31 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $54.95 | Facility | None | $38.90 | $38.90 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $85.11 Typical High $104.71 | Professional | None | $54.95 | $85.11 | $104.71 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $194.98 Typical High $1,288.25 | Facility | None | $72.44 | $194.98 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $104.71 Typical High $426.58 | Professional | None | $58.88 | $104.71 | $426.58 |
Midlands Setting Professional Modifier None Typical Low $56.23 Median $91.20 Typical High $112.20 | Professional | None | $56.23 | $91.20 | $112.20 |
Midlands Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $54.95 | Facility | None | $38.90 | $38.90 | $54.95 |
Midlands Setting Professional Modifier None Typical Low $47.86 Median $85.11 Typical High $97.72 | Professional | None | $47.86 | $85.11 | $97.72 |
United Setting Facility Modifier None Typical Low $104.71 Median $223.87 Typical High $1,230.27 | Facility | None | $104.71 | $223.87 | $1,230.27 |
United Setting Professional Modifier None Typical Low $37.15 Median $61.66 Typical High $114.82 | Professional | None | $37.15 | $61.66 | $114.82 |
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 $11.75 Median $11.75 Typical High $20.42 | Professional | 52 · Reduced service | $11.75 | $11.75 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $8.13 | Professional | 53 · Discontinued | $4.68 | $4.68 | $8.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.38 Median $17.38 Typical High $30.90 | Professional | 54 · Surgery only | $17.38 | $17.38 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $3.47 Typical High $6.17 | Professional | 55 · Aftercare only | $3.47 | $3.47 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $4.07 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $4.07 |
Where Nebraska sits
The same service costs 3.4 times more in Wisconsin than in Utah. 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· 39th of 51
$47.86
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.