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 $194.98 Median $3,801.89 Typical High $11,481.54 | Facility | None | $194.98 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $194.98 Typical High $512.86 | Professional | None | $117.49 | $194.98 | $512.86 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,623.41 Median $7,585.78 Typical High $15,488.17 | Facility | None | $5,623.41 | $7,585.78 | $15,488.17 |
BCBS Nebraska Setting Professional Modifier None Typical Low $100.00 Median $177.83 Typical High $239.88 | Professional | None | $100.00 | $177.83 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $1,479.11 | Facility | None | $645.65 | $1,071.52 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $398.11 Typical High $489.78 | Professional | None | $269.15 | $398.11 | $489.78 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $1,096.48 Typical High $3,981.07 | Facility | None | $354.81 | $1,096.48 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $446.68 Typical High $3,548.13 | Professional | None | $263.03 | $446.68 | $3,548.13 |
Midlands Setting Professional Modifier None Typical Low $275.42 Median $407.38 Typical High $512.86 | Professional | None | $275.42 | $407.38 | $512.86 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $1,122.02 Typical High $1,621.81 | Facility | None | $645.65 | $1,122.02 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $234.42 Median $389.05 Typical High $446.68 | Professional | None | $234.42 | $389.05 | $446.68 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $173.78 Median $288.40 Typical High $489.78 | Professional | None | $173.78 | $288.40 | $489.78 |
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 $58.88 Median $58.88 Typical High $97.72 | Professional | 52 · Reduced service | $58.88 | $58.88 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $38.90 | Professional | 53 · Discontinued | $23.44 | $23.44 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $89.13 Typical High $144.54 | Professional | 54 · Surgery only | $89.13 | $89.13 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $28.84 | Professional | 55 · Aftercare only | $17.78 | $17.78 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $19.50 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $19.50 |
Where Nebraska sits
The same service costs 4.0 times more in Alaska 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· 26th of 51
$240
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.