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 $75.86 Median $3,801.89 Typical High $11,481.54 | Facility | None | $75.86 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $75.86 Typical High $162.18 | Professional | None | $41.69 | $75.86 | $162.18 |
BCBS Nebraska Setting Facility Modifier None Typical Low $724.44 Median $977.24 Typical High $1,995.26 | Facility | None | $724.44 | $977.24 | $1,995.26 |
BCBS Nebraska Setting Professional Modifier None Typical Low $36.31 Median $64.57 Typical High $83.18 | Professional | None | $36.31 | $64.57 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $91.20 Typical High $125.89 | Facility | None | $61.66 | $91.20 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $177.83 Typical High $275.42 | Professional | None | $97.72 | $177.83 | $275.42 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $223.87 Typical High $1,288.25 | Facility | None | $75.86 | $223.87 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $181.97 Typical High $1,023.29 | Professional | None | $85.11 | $181.97 | $1,023.29 |
Midlands Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $275.42 | Professional | None | $138.04 | $199.53 | $275.42 |
Midlands Setting Facility Modifier None Typical Low $70.79 Median $93.33 Typical High $128.82 | Facility | None | $70.79 | $93.33 | $128.82 |
Midlands Setting Professional Modifier None Typical Low $75.86 Median $138.04 Typical High $257.04 | Professional | None | $75.86 | $138.04 | $257.04 |
Oscar Health Setting Professional Modifier None Typical Low $42.66 Median $85.11 Typical High $169.82 | Professional | None | $42.66 | $85.11 | $169.82 |
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 $57.54 Median $102.33 Typical High $199.53 | Professional | None | $57.54 | $102.33 | $199.53 |
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 $20.89 Median $38.02 Typical High $64.57 | Professional | 52 · Reduced service | $20.89 | $38.02 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $15.14 Typical High $25.70 | Professional | 53 · Discontinued | $8.32 | $15.14 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $31.62 Median $56.23 Typical High $95.50 | Professional | 54 · Surgery only | $31.62 | $56.23 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $11.22 Typical High $19.50 | Professional | 55 · Aftercare only | $6.31 | $11.22 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $7.59 Typical High $12.88 | Professional | 56 · Pre-op care only | $4.17 | $7.59 | $12.88 |
Where Nebraska sits
The same service costs 3.0 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· 42nd of 51
$83.18
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.