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 $109.65 Median $3,801.89 Typical High $11,481.54 | Facility | None | $109.65 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $154.88 Typical High $269.15 | Professional | None | $72.44 | $154.88 | $269.15 |
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 $63.10 Median $112.20 Typical High $151.36 | Professional | None | $63.10 | $112.20 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $281.84 | Professional | None | $158.49 | $218.78 | $281.84 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $204.17 Typical High $1,000.00 | Facility | None | $97.72 | $204.17 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $281.84 Typical High $891.25 | Professional | None | $141.25 | $281.84 | $891.25 |
Midlands Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $316.23 | Professional | None | $186.21 | $251.19 | $316.23 |
Midlands Setting Professional Modifier None Typical Low $131.83 Median $251.19 Typical High $380.19 | Professional | None | $131.83 | $251.19 | $380.19 |
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 $107.15 Median $177.83 Typical High $288.40 | Professional | None | $107.15 | $177.83 | $288.40 |
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 $36.31 Median $54.95 Typical High $64.57 | Professional | 52 · Reduced service | $36.31 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $21.88 Typical High $25.70 | Professional | 53 · Discontinued | $14.45 | $21.88 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $83.18 Typical High $95.50 | Professional | 54 · Surgery only | $54.95 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $16.60 Typical High $19.50 | Professional | 55 · Aftercare only | $10.96 | $16.60 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $10.96 Typical High $12.88 | Professional | 56 · Pre-op care only | $7.24 | $10.96 | $12.88 |
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· 15th of 51
$145
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.