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 $102.33 Median $3,801.89 Typical High $11,481.54 | Facility | None | $102.33 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $177.83 | Professional | None | $77.62 | $102.33 | $177.83 |
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 $64.57 Median $112.20 Typical High $147.91 | Professional | None | $64.57 | $112.20 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $257.04 | Professional | None | $162.18 | $229.09 | $257.04 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $371.54 Typical High $4,365.16 | Facility | None | $138.04 | $371.54 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $199.53 Typical High $912.01 | Professional | None | $128.82 | $199.53 | $912.01 |
Midlands Setting Professional Modifier None Typical Low $186.21 Median $229.09 Typical High $275.42 | Professional | None | $186.21 | $229.09 | $275.42 |
Midlands Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $288.40 | Professional | None | $162.18 | $245.47 | $288.40 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $4,466.84 | Facility | None | $1,047.13 | $1,288.25 | $4,466.84 |
United Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $251.19 | Professional | None | $104.71 | $173.78 | $251.19 |
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 $38.90 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $38.90 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $15.49 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $77.62 Typical High $77.62 | Professional | 54 · Surgery only | $57.54 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $15.49 Typical High $15.49 | Professional | 55 · Aftercare only | $11.48 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $10.23 Typical High $10.23 | Professional | 56 · Pre-op care only | $7.76 | $10.23 | $10.23 |
Where Nebraska sits
The same service costs 3.8 times more in Alaska 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· 15th of 51
$138
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.