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 $309.03 Median $4,466.84 Typical High $11,481.54 | Facility | None | $309.03 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $309.03 Typical High $1,445.44 | Professional | None | $181.97 | $309.03 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,248.07 Median $7,079.46 Typical High $14,454.40 | Facility | None | $5,248.07 | $7,079.46 | $14,454.40 |
BCBS Nebraska Setting Professional Modifier None Typical Low $158.49 Median $281.84 Typical High $380.19 | Professional | None | $158.49 | $281.84 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $741.31 Typical High $1,513.56 | Facility | None | $436.52 | $741.31 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $794.33 | Professional | None | $389.05 | $645.65 | $794.33 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,071.52 Typical High $3,019.95 | Facility | None | $588.84 | $1,071.52 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $691.83 Typical High $2,630.27 | Professional | None | $426.58 | $691.83 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $812.83 | Professional | None | $389.05 | $645.65 | $812.83 |
Midlands Setting Facility Modifier None Typical Low $467.74 Median $794.33 Typical High $1,445.44 | Facility | None | $467.74 | $794.33 | $1,445.44 |
Midlands Setting Professional Modifier None Typical Low $371.54 Median $630.96 Typical High $724.44 | Professional | None | $371.54 | $630.96 | $724.44 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,148.15 Typical High $3,162.28 | Facility | None | $707.95 | $1,148.15 | $3,162.28 |
United Setting Professional Modifier None Typical Low $281.84 Median $467.74 Typical High $794.33 | Professional | None | $281.84 | $467.74 | $794.33 |
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 $91.20 Median $91.20 Typical High $154.88 | Professional | 52 · Reduced service | $91.20 | $91.20 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $61.66 | Professional | 53 · Discontinued | $36.31 | $36.31 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $134.90 Typical High $229.09 | Professional | 54 · Surgery only | $134.90 | $134.90 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $45.71 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $30.90 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $30.90 |
Where Nebraska sits
The same service costs 3.0 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· 32nd of 51
$372
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.