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 $23.44 Median $23.44 Typical High $52.48 | Facility | None | $23.44 | $23.44 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $52.48 | Professional | None | $23.44 | $23.44 | $52.48 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $4,466.84 | Facility | None | $1,621.81 | $2,187.76 | $4,466.84 |
BCBS Nebraska Setting Professional Modifier None Typical Low $20.89 Median $35.48 Typical High $46.77 | Professional | None | $20.89 | $35.48 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $42.66 Typical High $52.48 | Facility | None | $25.70 | $42.66 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $109.65 Typical High $134.90 | Professional | None | $54.95 | $109.65 | $134.90 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $169.82 Typical High $1,318.26 | Facility | None | $54.95 | $169.82 | $1,318.26 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $112.20 Typical High $426.58 | Professional | None | $66.07 | $112.20 | $426.58 |
Midlands Setting Professional Modifier None Typical Low $56.23 Median $104.71 Typical High $131.83 | Professional | None | $56.23 | $104.71 | $131.83 |
Midlands Setting Facility Modifier None Typical Low $25.70 Median $42.66 Typical High $52.48 | Facility | None | $25.70 | $42.66 | $52.48 |
Midlands Setting Professional Modifier None Typical Low $47.86 Median $104.71 Typical High $123.03 | Professional | None | $47.86 | $104.71 | $123.03 |
United Setting Facility Modifier None Typical Low $89.13 Median $213.80 Typical High $1,230.27 | Facility | None | $89.13 | $213.80 | $1,230.27 |
United Setting Professional Modifier None Typical Low $38.02 Median $66.07 Typical High $128.82 | Professional | None | $38.02 | $66.07 | $128.82 |
4 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 $11.75 Median $11.75 Typical High $26.30 | Professional | 52 · Reduced service | $11.75 | $11.75 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $10.47 | Professional | 53 · Discontinued | $4.68 | $4.68 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $3.55 Typical High $7.76 | Professional | 55 · Aftercare only | $3.55 | $3.55 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $5.25 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $5.25 |
Where Nebraska sits
The same service costs 3.5 times more in Wisconsin than in Utah. 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· 49th of 51
$45.71
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.