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 $162.18 Median $3,801.89 Typical High $11,481.54 | Facility | None | $162.18 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $223.87 Typical High $398.11 | Professional | None | $104.71 | $223.87 | $398.11 |
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 $91.20 Median $158.49 Typical High $208.93 | Professional | None | $91.20 | $158.49 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $177.83 Typical High $213.80 | Facility | None | $141.25 | $177.83 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $416.87 | Professional | None | $223.87 | $323.59 | $416.87 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $602.56 Typical High $2,290.87 | Facility | None | $194.98 | $602.56 | $2,290.87 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $416.87 Typical High $1,318.26 | Professional | None | $204.17 | $416.87 | $1,318.26 |
Midlands Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $467.74 | Professional | None | $263.03 | $371.54 | $467.74 |
Midlands Setting Facility Modifier None Typical Low $141.25 Median $181.97 Typical High $288.40 | Facility | None | $141.25 | $181.97 | $288.40 |
Midlands Setting Professional Modifier None Typical Low $190.55 Median $363.08 Typical High $549.54 | Professional | None | $190.55 | $363.08 | $549.54 |
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 $151.36 Median $251.19 Typical High $416.87 | Professional | None | $151.36 | $251.19 | $416.87 |
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 $52.48 Median $81.28 Typical High $93.33 | Professional | 52 · Reduced service | $52.48 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $33.11 Typical High $37.15 | Professional | 53 · Discontinued | $21.38 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $123.03 Typical High $138.04 | Professional | 54 · Surgery only | $79.43 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $24.55 Typical High $27.54 | Professional | 55 · Aftercare only | $15.85 | $24.55 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $16.60 Typical High $18.62 | Professional | 56 · Pre-op care only | $10.47 | $16.60 | $18.62 |
Where Nebraska sits
The same service costs 3.3 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· 20th of 51
$204
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.