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 $380.19 Median $4,466.84 Typical High $11,481.54 | Facility | None | $380.19 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $1,445.44 | Professional | None | $269.15 | $380.19 | $1,445.44 |
BCBS Nebraska Setting Facility Modifier None Typical Low $5,888.44 Median $7,762.47 Typical High $15,848.93 | Facility | None | $5,888.44 | $7,762.47 | $15,848.93 |
BCBS Nebraska Setting Professional Modifier None Typical Low $234.42 Median $416.87 Typical High $575.44 | Professional | None | $234.42 | $416.87 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $2,137.96 Typical High $3,981.07 | Facility | None | $537.03 | $2,137.96 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $977.24 | Professional | None | $588.84 | $812.83 | $977.24 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $8,317.64 | Facility | None | $467.74 | $758.58 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $891.25 Typical High $4,897.79 | Professional | None | $512.86 | $891.25 | $4,897.79 |
Midlands Setting Professional Modifier None Typical Low $660.69 Median $870.96 Typical High $1,000.00 | Professional | None | $660.69 | $870.96 | $1,000.00 |
Midlands Setting Facility Modifier None Typical Low $537.03 Median $2,754.23 Typical High $4,265.80 | Facility | None | $537.03 | $2,754.23 | $4,265.80 |
Midlands Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $1,000.00 | Professional | None | $562.34 | $794.33 | $1,000.00 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $6,165.95 | Facility | None | $467.74 | $851.14 | $6,165.95 |
United Setting Professional Modifier None Typical Low $407.38 Median $676.08 Typical High $954.99 | Professional | None | $407.38 | $676.08 | $954.99 |
6 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 $134.90 Median $134.90 Typical High $190.55 | Professional | 52 · Reduced service | $134.90 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $75.86 | Professional | 53 · Discontinued | $53.70 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $281.84 | Professional | 54 · Surgery only | $204.17 | $204.17 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $57.54 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $38.02 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $38.02 |
Ambetter Setting Professional Modifier 58 · Staged procedure Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 58 · Staged procedure | $562.34 | $562.34 | $562.34 |
Where Nebraska sits
The same service costs 3.9 times more in Alaska than in New York. 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· 17th of 51
$525
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.