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 $346.74 Median $3,801.89 Typical High $11,481.54 | Facility | None | $346.74 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $346.74 Typical High $776.25 | Professional | None | $263.03 | $346.74 | $776.25 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $6,456.54 | Facility | None | $2,344.23 | $3,162.28 | $6,456.54 |
BCBS Nebraska Setting Professional Modifier None Typical Low $234.42 Median $398.11 Typical High $537.03 | Professional | None | $234.42 | $398.11 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $275.42 Typical High $467.74 | Facility | None | $204.17 | $275.42 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $912.01 | Professional | None | $630.96 | $758.58 | $912.01 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $257.04 Typical High $1,445.44 | Facility | None | $102.33 | $257.04 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $891.25 Typical High $2,884.03 | Professional | None | $457.09 | $891.25 | $2,884.03 |
Midlands Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $954.99 | Professional | None | $645.65 | $851.14 | $954.99 |
Midlands Setting Facility Modifier None Typical Low $208.93 Median $288.40 Typical High $467.74 | Facility | None | $208.93 | $288.40 | $467.74 |
Midlands Setting Professional Modifier None Typical Low $549.54 Median $724.44 Typical High $831.76 | Professional | None | $549.54 | $724.44 | $831.76 |
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 $416.87 Median $676.08 Typical High $954.99 | Professional | None | $416.87 | $676.08 | $954.99 |
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 $131.83 Median $131.83 Typical High $173.78 | Professional | 52 · Reduced service | $131.83 | $131.83 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $69.18 | Professional | 53 · Discontinued | $52.48 | $52.48 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $199.53 Typical High $263.03 | Professional | 54 · Surgery only | $199.53 | $199.53 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $52.48 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $34.67 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $34.67 |
Where Nebraska sits
The same service costs 2.9 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· 21st of 51
$457
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.