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 $1,659.59 Median $5,011.87 Typical High $11,481.54 | Facility | None | $1,659.59 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $1,318.26 | Professional | None | $162.18 | $162.18 | $1,318.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,090.30 Median $4,073.80 Typical High $8,317.64 | Facility | None | $3,090.30 | $4,073.80 | $8,317.64 |
BCBS Nebraska Setting Professional Modifier None Typical Low $2,818.38 Median $4,365.16 Typical High $5,888.44 | Professional | None | $2,818.38 | $4,365.16 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $954.99 Typical High $1,513.56 | Facility | None | $794.33 | $954.99 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $416.87 | Professional | None | $323.59 | $354.81 | $416.87 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $251.19 Typical High $1,995.26 | Facility | None | $107.15 | $251.19 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $416.87 Typical High $1,318.26 | Professional | None | $218.78 | $416.87 | $1,318.26 |
Midlands Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $537.03 | Professional | None | $295.12 | $416.87 | $537.03 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,548.82 | Facility | None | $954.99 | $954.99 | $1,548.82 |
Midlands Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $549.54 | Professional | None | $295.12 | $371.54 | $549.54 |
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 $218.78 Median $338.84 Typical High $446.68 | Professional | None | $218.78 | $338.84 | $446.68 |
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 $81.28 Median $81.28 Typical High $144.54 | Professional | 52 · Reduced service | $81.28 | $81.28 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $57.54 | Professional | 53 · Discontinued | $32.36 | $32.36 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $123.03 Typical High $213.80 | Professional | 54 · Surgery only | $123.03 | $123.03 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $42.66 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $28.84 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $28.84 |
Where Nebraska sits
The same service costs 4.5 times more in Alaska than in New York. 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· 4th of 51
$407
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.