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 $380.19 Typical High $501.19 | Facility | None | $380.19 | $380.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $645.65 Typical High $1,096.48 | Professional | None | $380.19 | $645.65 | $1,096.48 |
Ambetter Setting Professional Modifier None Typical Low $117.49 Median $549.54 Typical High $1,288.25 | Professional | None | $117.49 | $549.54 | $1,288.25 |
BCBS Nebraska Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $1,288.25 | Facility | None | $478.63 | $645.65 | $1,288.25 |
BCBS Nebraska Setting Professional Modifier None Typical Low $316.23 Median $575.44 Typical High $758.58 | Professional | None | $316.23 | $575.44 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,288.25 | Professional | None | $794.33 | $1,023.29 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $794.33 Typical High $3,467.37 | Facility | None | $426.58 | $794.33 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $1,047.13 Typical High $4,073.80 | Professional | None | $537.03 | $1,047.13 | $4,073.80 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,348.96 | Professional | None | $794.33 | $1,023.29 | $1,348.96 |
Midlands Setting Professional Modifier None Typical Low $776.25 Median $1,047.13 Typical High $1,174.90 | Professional | None | $776.25 | $1,047.13 | $1,174.90 |
United Setting Facility Modifier None Typical Low $457.09 Median $891.25 Typical High $3,801.89 | Facility | None | $457.09 | $891.25 | $3,801.89 |
United Setting Professional Modifier None Typical Low $489.78 Median $812.83 Typical High $1,230.27 | Professional | None | $489.78 | $812.83 | $1,230.27 |
3 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 $186.21 Median $186.21 Typical High $245.47 | Professional | 52 · Reduced service | $186.21 | $186.21 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $74.13 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $50.12 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $50.12 |
Where Nebraska sits
The same service costs 3.1 times more in Alaska than in Indiana. 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· 18th of 51
$646
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.