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 $91.20 Median $3,801.89 Typical High $11,481.54 | Facility | None | $91.20 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $107.15 Typical High $239.88 | Professional | None | $48.98 | $107.15 | $239.88 |
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 $41.69 Median $74.13 Typical High $97.72 | Professional | None | $41.69 | $74.13 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $112.20 Typical High $123.03 | Facility | None | $91.20 | $112.20 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $190.55 Typical High $234.42 | Professional | None | $114.82 | $190.55 | $234.42 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $223.87 Typical High $1,288.25 | Facility | None | $89.13 | $223.87 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $218.78 Typical High $724.44 | Professional | None | $120.23 | $218.78 | $724.44 |
Midlands Setting Professional Modifier None Typical Low $117.49 Median $199.53 Typical High $251.19 | Professional | None | $117.49 | $199.53 | $251.19 |
Midlands Setting Facility Modifier None Typical Low $91.20 Median $112.20 Typical High $125.89 | Facility | None | $91.20 | $112.20 | $125.89 |
Midlands Setting Professional Modifier None Typical Low $100.00 Median $186.21 Typical High $213.80 | Professional | None | $100.00 | $186.21 | $213.80 |
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 $74.13 Median $125.89 Typical High $234.42 | Professional | None | $74.13 | $125.89 | $234.42 |
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 $23.99 Median $23.99 Typical High $45.71 | Professional | 52 · Reduced service | $23.99 | $23.99 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $18.20 | Professional | 53 · Discontinued | $9.77 | $9.77 | $18.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $36.31 Typical High $67.61 | Professional | 54 · Surgery only | $36.31 | $36.31 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.24 Typical High $13.49 | Professional | 55 · Aftercare only | $7.24 | $7.24 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $9.12 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $9.12 |
Where Nebraska sits
The same service costs 2.8 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· 48th of 51
$95.50
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.