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 $81.28 Median $123.03 Typical High $11,481.54 | Facility | None | $81.28 | $123.03 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $72.44 Typical High $138.04 | Professional | None | $38.02 | $72.44 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $56.23 Median $74.13 Typical High $74.13 | Professional | None | $56.23 | $74.13 | $74.13 |
BCBS Nebraska Setting Facility Modifier None Typical Low $91.20 Median $120.23 Typical High $245.47 | Facility | None | $91.20 | $120.23 | $245.47 |
BCBS Nebraska Setting Professional Modifier None Typical Low $33.11 Median $58.88 Typical High $81.28 | Professional | None | $33.11 | $58.88 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $79.43 | Facility | None | $64.57 | $64.57 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $131.83 Typical High $144.54 | Professional | None | $89.13 | $131.83 | $144.54 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $234.42 Typical High $1,778.28 | Facility | None | $72.44 | $234.42 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $707.95 Typical High $1,949.84 | Professional | None | $100.00 | $707.95 | $1,949.84 |
Midlands Setting Professional Modifier None Typical Low $97.72 Median $134.90 Typical High $158.49 | Professional | None | $97.72 | $134.90 | $158.49 |
Midlands Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $79.43 | Facility | None | $64.57 | $64.57 | $79.43 |
Midlands Setting Professional Modifier None Typical Low $79.43 Median $131.83 Typical High $158.49 | Professional | None | $79.43 | $131.83 | $158.49 |
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 $63.10 Median $100.00 Typical High $147.91 | Professional | None | $63.10 | $100.00 | $147.91 |
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 $19.05 Median $28.18 Typical High $36.31 | Professional | 52 · Reduced service | $19.05 | $28.18 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $11.22 Typical High $14.45 | Professional | 53 · Discontinued | $7.59 | $11.22 | $14.45 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.18 Median $41.69 Typical High $53.70 | Professional | 54 · Surgery only | $28.18 | $41.69 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $8.51 Typical High $10.72 | Professional | 55 · Aftercare only | $5.75 | $8.51 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $5.62 Typical High $7.24 | Professional | 56 · Pre-op care only | $3.80 | $5.62 | $7.24 |
Where Nebraska sits
The same service costs 3.8 times more in Alaska than in Maryland. 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
$79.43
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.