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 $117.49 Median $4,466.84 Typical High $11,481.54 | Facility | None | $117.49 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $151.36 Typical High $309.03 | Professional | None | $83.18 | $151.36 | $309.03 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $288.40 | Professional | None | $125.89 | $165.96 | $288.40 |
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 $74.13 Median $125.89 Typical High $165.96 | Professional | None | $74.13 | $125.89 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $102.33 Typical High $120.23 | Facility | None | $83.18 | $102.33 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $302.00 | Professional | None | $199.53 | $251.19 | $302.00 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $229.09 Typical High $1,778.28 | Facility | None | $100.00 | $229.09 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $257.04 Typical High $933.25 | Professional | None | $151.36 | $257.04 | $933.25 |
Midlands Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $309.03 | Professional | None | $204.17 | $257.04 | $309.03 |
Midlands Setting Facility Modifier None Typical Low $83.18 Median $102.33 Typical High $125.89 | Facility | None | $83.18 | $102.33 | $125.89 |
Midlands Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $275.42 | Professional | None | $173.78 | $239.88 | $275.42 |
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 $204.17 Typical High $295.12 | Professional | None | $128.82 | $204.17 | $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 $41.69 Median $41.69 Typical High $58.88 | Professional | 52 · Reduced service | $41.69 | $41.69 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $23.44 | Professional | 53 · Discontinued | $16.60 | $16.60 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $63.10 Typical High $87.10 | Professional | 54 · Surgery only | $63.10 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $17.38 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $11.75 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $11.75 |
Where Nebraska sits
The same service costs 3.7 times more in Alaska 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· 19th of 51
$155
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.