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 $30.20 Median $4,466.84 Typical High $11,481.54 | Facility | None | $30.20 | $4,466.84 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $56.23 | Professional | None | $22.91 | $30.20 | $56.23 |
BCBS Nebraska Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $891.25 | Facility | None | $331.13 | $436.52 | $891.25 |
BCBS Nebraska Setting Professional Modifier None Typical Low $19.95 Median $34.67 Typical High $45.71 | Professional | None | $19.95 | $34.67 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $28.84 Typical High $47.86 | Facility | None | $20.89 | $28.84 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $91.20 | Professional | None | $50.12 | $64.57 | $91.20 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $194.98 Typical High $1,778.28 | Facility | None | $50.12 | $194.98 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $87.10 Typical High $831.76 | Professional | None | $39.81 | $87.10 | $831.76 |
Midlands Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $91.20 | Professional | None | $58.88 | $77.62 | $91.20 |
Midlands Setting Facility Modifier None Typical Low $21.88 Median $28.18 Typical High $45.71 | Facility | None | $21.88 | $28.18 | $45.71 |
Midlands Setting Professional Modifier None Typical Low $41.69 Median $77.62 Typical High $97.72 | Professional | None | $41.69 | $77.62 | $97.72 |
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 $33.88 Median $54.95 Typical High $85.11 | Professional | None | $33.88 | $54.95 | $85.11 |
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 $11.48 Median $15.14 Typical High $19.95 | Professional | 52 · Reduced service | $11.48 | $15.14 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $6.03 Typical High $7.94 | Professional | 53 · Discontinued | $4.57 | $6.03 | $7.94 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.38 Median $22.91 Typical High $30.20 | Professional | 54 · Surgery only | $17.38 | $22.91 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $4.57 Typical High $6.03 | Professional | 55 · Aftercare only | $3.47 | $4.57 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $3.02 Typical High $3.98 | Professional | 56 · Pre-op care only | $2.29 | $3.02 | $3.98 |
Where Nebraska sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 15th of 51
$43.65
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.