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 $104.71 Median $3,801.89 Typical High $11,481.54 | Facility | None | $104.71 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $275.42 | Professional | None | $85.11 | $104.71 | $275.42 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $138.04 Typical High $269.15 | Professional | None | $70.79 | $138.04 | $269.15 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $3,388.44 | Facility | None | $1,258.93 | $1,659.59 | $3,388.44 |
BCBS Nebraska Setting Professional Modifier None Typical Low $75.86 Median $128.82 Typical High $169.82 | Professional | None | $75.86 | $128.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $95.50 Typical High $114.82 | Facility | None | $70.79 | $95.50 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $234.42 Typical High $275.42 | Professional | None | $204.17 | $234.42 | $275.42 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $1,288.25 | Facility | None | $97.72 | $234.42 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $1,174.90 Typical High $3,162.28 | Professional | None | $186.21 | $1,174.90 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $229.09 Median $234.42 Typical High $288.40 | Professional | None | $229.09 | $234.42 | $288.40 |
Midlands Setting Facility Modifier None Typical Low $72.44 Median $95.50 Typical High $117.49 | Facility | None | $72.44 | $95.50 | $117.49 |
Midlands Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $288.40 | Professional | None | $177.83 | $257.04 | $288.40 |
Oscar Health Setting Facility Modifier None Typical Low $147.91 Median $660.69 Typical High $758.58 | Facility | None | $147.91 | $660.69 | $758.58 |
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 $141.25 Median $218.78 Typical High $269.15 | Professional | None | $141.25 | $218.78 | $269.15 |
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 $42.66 Median $52.48 Typical High $81.28 | Professional | 52 · Reduced service | $42.66 | $52.48 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $20.89 Typical High $32.36 | Professional | 53 · Discontinued | $17.38 | $20.89 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $79.43 Typical High $123.03 | Professional | 54 · Surgery only | $64.57 | $79.43 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $15.85 Typical High $24.55 | Professional | 55 · Aftercare only | $12.88 | $15.85 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $10.47 Typical High $16.22 | Professional | 56 · Pre-op care only | $8.71 | $10.47 | $16.22 |
Where Nebraska sits
The same service costs 3.7 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
$166
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.