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 $123.03 Median $3,801.89 Typical High $11,481.54 | Facility | None | $123.03 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $181.97 Typical High $323.59 | Professional | None | $83.18 | $181.97 | $323.59 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $4,365.16 | Facility | None | $1,621.81 | $2,187.76 | $4,365.16 |
BCBS Nebraska Setting Professional Modifier None Typical Low $72.44 Median $123.03 Typical High $165.96 | Professional | None | $72.44 | $123.03 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $107.15 Typical High $131.83 | Facility | None | $85.11 | $107.15 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $316.23 | Professional | None | $194.98 | $263.03 | $316.23 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $234.42 Typical High $1,778.28 | Facility | None | $102.33 | $234.42 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $275.42 Typical High $1,000.00 | Professional | None | $158.49 | $275.42 | $1,000.00 |
Midlands Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $338.84 | Professional | None | $199.53 | $275.42 | $338.84 |
Midlands Setting Facility Modifier None Typical Low $85.11 Median $114.82 Typical High $141.25 | Facility | None | $85.11 | $114.82 | $141.25 |
Midlands Setting Professional Modifier None Typical Low $169.82 Median $251.19 Typical High $288.40 | Professional | None | $169.82 | $251.19 | $288.40 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $128.82 Median $208.93 Typical High $309.03 | Professional | None | $128.82 | $208.93 | $309.03 |
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 $41.69 Median $41.69 Typical High $61.66 | Professional | 52 · Reduced service | $41.69 | $41.69 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $24.55 | Professional | 53 · Discontinued | $16.60 | $16.60 | $24.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $61.66 Typical High $91.20 | Professional | 54 · Surgery only | $61.66 | $61.66 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $18.20 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $12.30 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $12.30 |
Where Nebraska sits
The same service costs 3.3 times more in Wisconsin 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· 23rd of 51
$151
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.