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 $1,548.82 Typical High $10,964.78 | Facility | None | $234.42 | $1,548.82 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $269.15 Typical High $616.60 | Professional | None | $109.65 | $269.15 | $616.60 |
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 $95.50 Median $165.96 Typical High $218.78 | Professional | None | $95.50 | $165.96 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $489.78 Typical High $602.56 | Professional | None | $257.04 | $489.78 | $602.56 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $616.60 Typical High $6,025.60 | Facility | None | $208.93 | $616.60 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $537.03 Typical High $1,862.09 | Professional | None | $316.23 | $537.03 | $1,862.09 |
Midlands Setting Professional Modifier None Typical Low $263.03 Median $501.19 Typical High $602.56 | Professional | None | $263.03 | $501.19 | $602.56 |
Midlands Setting Professional Modifier None Typical Low $234.42 Median $549.54 Typical High $724.44 | Professional | None | $234.42 | $549.54 | $724.44 |
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 $162.18 Median $316.23 Typical High $630.96 | Professional | None | $162.18 | $316.23 | $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 $54.95 Median $83.18 Typical High $117.49 | Professional | 52 · Reduced service | $54.95 | $83.18 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $33.88 Typical High $46.77 | Professional | 53 · Discontinued | $21.88 | $33.88 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $125.89 Typical High $173.78 | Professional | 54 · Surgery only | $83.18 | $125.89 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $25.12 Typical High $34.67 | Professional | 55 · Aftercare only | $16.60 | $25.12 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $16.60 Typical High $23.44 | Professional | 56 · Pre-op care only | $10.96 | $16.60 | $23.44 |
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· 40th of 51
$219
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.