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 $83.18 Median $3,801.89 Typical High $11,481.54 | Facility | None | $83.18 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $1,071.52 | Professional | None | $58.88 | $83.18 | $1,071.52 |
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 $51.29 Median $87.10 Typical High $117.49 | Professional | None | $51.29 | $87.10 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $83.18 | Facility | None | $56.23 | $72.44 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $177.83 Typical High $213.80 | Professional | None | $138.04 | $177.83 | $213.80 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $234.42 Typical High $2,951.21 | Facility | None | $102.33 | $234.42 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $194.98 Typical High $1,949.84 | Professional | None | $112.20 | $194.98 | $1,949.84 |
Midlands Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $229.09 | Professional | None | $141.25 | $194.98 | $229.09 |
Midlands Setting Facility Modifier None Typical Low $58.88 Median $74.13 Typical High $87.10 | Facility | None | $58.88 | $74.13 | $87.10 |
Midlands Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $194.98 | Professional | None | $123.03 | $169.82 | $194.98 |
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 $91.20 Median $151.36 Typical High $213.80 | Professional | None | $91.20 | $151.36 | $213.80 |
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 $29.51 Median $29.51 Typical High $41.69 | Professional | 52 · Reduced service | $29.51 | $29.51 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $16.60 | Professional | 53 · Discontinued | $11.75 | $11.75 | $16.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $44.67 Typical High $61.66 | Professional | 54 · Surgery only | $44.67 | $44.67 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $8.91 Typical High $12.30 | Professional | 55 · Aftercare only | $8.91 | $8.91 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $8.32 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $8.32 |
Where Nebraska sits
The same service costs 3.5 times more in Wisconsin 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· 25th of 51
$110
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.