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 $87.10 Median $3,801.89 Typical High $11,481.54 | Facility | None | $87.10 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $147.91 | Professional | None | $64.57 | $87.10 | $147.91 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
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 $56.23 Median $95.50 Typical High $125.89 | Professional | None | $56.23 | $95.50 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $77.62 Typical High $85.11 | Facility | None | $61.66 | $77.62 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $223.87 | Professional | None | $138.04 | $169.82 | $223.87 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $213.80 Typical High $1,000.00 | Facility | None | $85.11 | $213.80 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $218.78 Typical High $691.83 | Professional | None | $109.65 | $218.78 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $162.18 Median $199.53 Typical High $229.09 | Professional | None | $162.18 | $199.53 | $229.09 |
Midlands Setting Facility Modifier None Typical Low $63.10 Median $77.62 Typical High $89.13 | Facility | None | $63.10 | $77.62 | $89.13 |
Midlands Setting Professional Modifier None Typical Low $117.49 Median $208.93 Typical High $275.42 | Professional | None | $117.49 | $208.93 | $275.42 |
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 $91.20 Median $151.36 Typical High $218.78 | Professional | None | $91.20 | $151.36 | $218.78 |
3 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 $48.98 Median $64.57 Typical High $83.18 | Professional | 54 · Surgery only | $48.98 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $45.71 Median $60.26 Typical High $77.62 | Professional | 78 · Unplanned return to OR | $45.71 | $60.26 | $77.62 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 50 · Both sides | $117.49 | $117.49 | $117.49 |
Where Nebraska sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 14th of 51
$117
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.