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 $114.82 Median $7,585.78 Typical High $12,589.25 | Facility | None | $114.82 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $302.00 | Professional | None | $81.28 | $114.82 | $302.00 |
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 $69.18 Median $117.49 Typical High $154.88 | Professional | None | $69.18 | $117.49 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $117.49 Typical High $134.90 | Facility | None | $93.33 | $117.49 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $288.40 | Professional | None | $186.21 | $239.88 | $288.40 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $616.60 Typical High $2,290.87 | Facility | None | $147.91 | $616.60 | $2,290.87 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $269.15 Typical High $891.25 | Professional | None | $154.88 | $269.15 | $891.25 |
Midlands Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $316.23 | Professional | None | $190.55 | $257.04 | $316.23 |
Midlands Setting Facility Modifier None Typical Low $95.50 Median $117.49 Typical High $138.04 | Facility | None | $95.50 | $117.49 | $138.04 |
Midlands Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $263.03 | Professional | None | $162.18 | $229.09 | $263.03 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,754.23 | Facility | None | $467.74 | $851.14 | $2,754.23 |
United Setting Professional Modifier None Typical Low $120.23 Median $199.53 Typical High $295.12 | Professional | None | $120.23 | $199.53 | $295.12 |
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 $40.74 Median $40.74 Typical High $57.54 | Professional | 52 · Reduced service | $40.74 | $40.74 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $22.91 | Professional | 53 · Discontinued | $16.22 | $16.22 | $22.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $60.26 Typical High $85.11 | Professional | 54 · Surgery only | $60.26 | $60.26 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $17.38 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.13 Typical High $11.48 | Professional | 56 · Pre-op care only | $8.13 | $8.13 | $11.48 |
Where Nebraska sits
The same service costs 3.2 times more in Wisconsin than in Texas. 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· 24th of 51
$148
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.