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 $91.20 Median $3,801.89 Typical High $11,481.54 | Facility | None | $91.20 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $91.20 Typical High $158.49 | Professional | None | $56.23 | $91.20 | $158.49 |
Ambetter Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $4,168.69 | Facility | None | $1,548.82 | $2,041.74 | $4,168.69 |
BCBS Nebraska Setting Professional Modifier None Typical Low $48.98 Median $87.10 Typical High $120.23 | Professional | None | $48.98 | $87.10 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $234.42 | Professional | None | $120.23 | $186.21 | $234.42 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $194.98 Typical High $1,202.26 | Facility | None | $91.20 | $194.98 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $234.42 Typical High $2,511.89 | Professional | None | $117.49 | $234.42 | $2,511.89 |
Midlands Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $257.04 | Professional | None | $141.25 | $204.17 | $257.04 |
Midlands Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Midlands Setting Professional Modifier None Typical Low $102.33 Median $190.55 Typical High $302.00 | Professional | None | $102.33 | $190.55 | $302.00 |
United Setting Facility Modifier None Typical Low $104.71 Median $234.42 Typical High $1,288.25 | Facility | None | $104.71 | $234.42 | $1,288.25 |
United Setting Professional Modifier None Typical Low $81.28 Median $138.04 Typical High $239.88 | Professional | None | $81.28 | $138.04 | $239.88 |
1 more rate 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 $42.66 Median $69.18 Typical High $72.44 | Professional | 54 · Surgery only | $42.66 | $69.18 | $72.44 |
Where Nebraska sits
The same service costs 3.6 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· 20th of 51
$112
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.