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 $141.25 Median $3,801.89 Typical High $11,481.54 | Facility | None | $141.25 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $169.82 Typical High $371.54 | Professional | None | $97.72 | $169.82 | $371.54 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $371.54 | Professional | None | $67.61 | $67.61 | $371.54 |
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 $85.11 Median $144.54 Typical High $190.55 | Professional | None | $85.11 | $144.54 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $173.78 | Facility | None | $114.82 | $144.54 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $275.42 Typical High $363.08 | Professional | None | $204.17 | $275.42 | $363.08 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $602.56 Typical High $2,290.87 | Facility | None | $208.93 | $602.56 | $2,290.87 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $354.81 Typical High $1,122.02 | Professional | None | $173.78 | $354.81 | $1,122.02 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $398.11 | Professional | None | $239.88 | $323.59 | $398.11 |
Midlands Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $234.42 | Facility | None | $117.49 | $147.91 | $234.42 |
Midlands Setting Professional Modifier None Typical Low $177.83 Median $331.13 Typical High $467.74 | Professional | None | $177.83 | $331.13 | $467.74 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,754.23 | Facility | None | $467.74 | $851.14 | $2,754.23 |
United Setting Professional Modifier None Typical Low $138.04 Median $229.09 Typical High $354.81 | Professional | None | $138.04 | $229.09 | $354.81 |
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 $48.98 Median $70.79 Typical High $85.11 | Professional | 52 · Reduced service | $48.98 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $28.18 Typical High $33.88 | Professional | 53 · Discontinued | $19.50 | $28.18 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $104.71 Typical High $128.82 | Professional | 54 · Surgery only | $72.44 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $20.89 Typical High $25.70 | Professional | 55 · Aftercare only | $14.45 | $20.89 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $14.13 Typical High $16.98 | Professional | 56 · Pre-op care only | $9.77 | $14.13 | $16.98 |
Where Nebraska sits
The same service costs 3.5 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
$186
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.