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 $239.88 Median $3,801.89 Typical High $11,481.54 | Facility | None | $239.88 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $239.88 Typical High $363.08 | Professional | None | $112.20 | $239.88 | $363.08 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $3,090.30 | Facility | None | $1,148.15 | $1,548.82 | $3,090.30 |
BCBS Nebraska Setting Professional Modifier None Typical Low $97.72 Median $165.96 Typical High $223.87 | Professional | None | $97.72 | $165.96 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $501.19 Typical High $616.60 | Professional | None | $263.03 | $501.19 | $616.60 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $537.03 Typical High $6,025.60 | Facility | None | $208.93 | $537.03 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $588.84 Typical High $2,454.71 | Professional | None | $323.59 | $588.84 | $2,454.71 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $512.86 Typical High $616.60 | Professional | None | $269.15 | $512.86 | $616.60 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $562.34 Typical High $758.58 | Professional | None | $239.88 | $562.34 | $758.58 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $2,754.23 Typical High $6,309.57 | Facility | None | $1,023.29 | $2,754.23 | $6,309.57 |
United Setting Professional Modifier None Typical Low $165.96 Median $323.59 Typical High $660.69 | Professional | None | $165.96 | $323.59 | $660.69 |
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 $56.23 Median $85.11 Typical High $120.23 | Professional | 52 · Reduced service | $56.23 | $85.11 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $33.88 Typical High $47.86 | Professional | 53 · Discontinued | $22.39 | $33.88 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $128.82 Typical High $177.83 | Professional | 54 · Surgery only | $83.18 | $128.82 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $25.70 Typical High $35.48 | Professional | 55 · Aftercare only | $16.98 | $25.70 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $16.98 Typical High $23.99 | Professional | 56 · Pre-op care only | $11.22 | $16.98 | $23.99 |
Where Nebraska sits
The same service costs 3.4 times more in Alaska than in Virginia. 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· 43rd of 51
$214
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.