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 $691.83 Median $691.83 Typical High $912.01 | Facility | None | $691.83 | $691.83 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $1,174.90 Typical High $2,041.74 | Professional | None | $691.83 | $1,174.90 | $2,041.74 |
Ambetter Setting Professional Modifier None Typical Low $199.53 Median $1,905.46 Typical High $2,344.23 | Professional | None | $199.53 | $1,905.46 | $2,344.23 |
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 $588.84 Median $1,047.13 Typical High $1,380.38 | Professional | None | $588.84 | $1,047.13 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,819.70 Typical High $2,344.23 | Professional | None | $1,380.38 | $1,819.70 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $912.01 Typical High $3,630.78 | Facility | None | $489.78 | $912.01 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,737.80 Typical High $7,413.10 | Professional | None | $954.99 | $1,737.80 | $7,413.10 |
Midlands Setting Professional Modifier None Typical Low $1,380.38 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,380.38 | $1,819.70 | $2,511.89 |
Midlands Setting Professional Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $2,187.76 | Professional | None | $1,445.44 | $1,905.46 | $2,187.76 |
United Setting Facility Modifier None Typical Low $489.78 Median $891.25 Typical High $3,801.89 | Facility | None | $489.78 | $891.25 | $3,801.89 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,479.11 Typical High $2,238.72 | Professional | None | $851.14 | $1,479.11 | $2,238.72 |
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 $346.74 Median $346.74 Typical High $457.09 | Professional | 52 · Reduced service | $346.74 | $346.74 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $134.90 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $91.20 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $91.20 |
Where Nebraska sits
The same service costs 3.2 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· 16th of 51
$1,148
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.