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 $47.86 Median $3,801.89 Typical High $11,481.54 | Facility | None | $47.86 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $67.61 Typical High $117.49 | Professional | None | $31.62 | $67.61 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $81.28 | Professional | None | $43.65 | $43.65 | $81.28 |
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 $27.54 Median $46.77 Typical High $63.10 | Professional | None | $27.54 | $46.77 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $38.02 Typical High $42.66 | Facility | None | $29.51 | $38.02 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $95.50 Typical High $123.03 | Professional | None | $70.79 | $95.50 | $123.03 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $190.55 Typical High $1,202.26 | Facility | None | $60.26 | $190.55 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $117.49 Typical High $380.19 | Professional | None | $60.26 | $117.49 | $380.19 |
Midlands Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $125.89 | Professional | None | $83.18 | $107.15 | $125.89 |
Midlands Setting Facility Modifier None Typical Low $30.90 Median $38.02 Typical High $43.65 | Facility | None | $30.90 | $38.02 | $43.65 |
Midlands Setting Professional Modifier None Typical Low $57.54 Median $107.15 Typical High $154.88 | Professional | None | $57.54 | $107.15 | $154.88 |
Oscar Health Setting Professional Modifier None Typical Low $33.11 Median $60.26 Typical High $107.15 | Professional | None | $33.11 | $60.26 | $107.15 |
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 $47.86 Median $77.62 Typical High $123.03 | Professional | None | $47.86 | $77.62 | $123.03 |
2 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 54 · Surgery only Typical Low $23.99 Median $35.48 Typical High $41.69 | Professional | 54 · Surgery only | $23.99 | $35.48 | $41.69 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 50 · Both sides | $112.20 | $112.20 | $112.20 |
Where Nebraska sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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
$61.66
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.