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 $234.42 Median $3,801.89 Typical High $11,481.54 | Facility | None | $234.42 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $1,071.52 | Professional | None | $194.98 | $234.42 | $1,071.52 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $3,467.37 | Facility | None | $1,288.25 | $1,698.24 | $3,467.37 |
BCBS Nebraska Setting Professional Modifier None Typical Low $169.82 Median $288.40 Typical High $389.05 | Professional | None | $169.82 | $288.40 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $275.42 Typical High $645.65 | Facility | None | $208.93 | $275.42 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $645.65 | Professional | None | $457.09 | $512.86 | $645.65 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $269.15 Typical High $3,019.95 | Facility | None | $114.82 | $269.15 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $537.03 Typical High $3,090.30 | Professional | None | $323.59 | $537.03 | $3,090.30 |
Midlands Setting Professional Modifier None Typical Low $467.74 Median $575.44 Typical High $645.65 | Professional | None | $467.74 | $575.44 | $645.65 |
Midlands Setting Facility Modifier None Typical Low $208.93 Median $275.42 Typical High $645.65 | Facility | None | $208.93 | $275.42 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $562.34 | Professional | None | $398.11 | $489.78 | $562.34 |
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 $295.12 Median $478.63 Typical High $630.96 | Professional | None | $295.12 | $478.63 | $630.96 |
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 $97.72 Median $97.72 Typical High $117.49 | Professional | 52 · Reduced service | $97.72 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $46.77 | Professional | 53 · Discontinued | $38.90 | $38.90 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $144.54 Typical High $177.83 | Professional | 54 · Surgery only | $144.54 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $28.84 Typical High $35.48 | Professional | 55 · Aftercare only | $28.84 | $28.84 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $23.44 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $23.44 |
Where Nebraska sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 21st of 51
$331
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.