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 $263.03 Median $3,801.89 Typical High $11,481.54 | Facility | None | $263.03 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $489.78 | Professional | None | $194.98 | $263.03 | $489.78 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,265.80 Median $5,623.41 Typical High $11,481.54 | Facility | None | $4,265.80 | $5,623.41 | $11,481.54 |
BCBS Nebraska Setting Professional Modifier None Typical Low $169.82 Median $288.40 Typical High $389.05 | Professional | None | $169.82 | $288.40 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $275.42 Typical High $323.59 | Facility | None | $223.87 | $275.42 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $676.08 | Professional | None | $457.09 | $616.60 | $676.08 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $660.69 Typical High $2,290.87 | Facility | None | $371.54 | $660.69 | $2,290.87 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $1,548.82 Typical High $2,041.74 | Professional | None | $478.63 | $1,548.82 | $2,041.74 |
Midlands Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $724.44 | Professional | None | $501.19 | $660.69 | $724.44 |
Midlands Setting Facility Modifier None Typical Low $223.87 Median $269.15 Typical High $346.74 | Facility | None | $223.87 | $269.15 | $346.74 |
Midlands Setting Professional Modifier None Typical Low $407.38 Median $645.65 Typical High $724.44 | Professional | None | $407.38 | $645.65 | $724.44 |
United Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $2,754.23 | Facility | None | $467.74 | $741.31 | $2,754.23 |
United Setting Professional Modifier None Typical Low $316.23 Median $501.19 Typical High $691.83 | Professional | None | $316.23 | $501.19 | $691.83 |
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 $97.72 Median $131.83 Typical High $181.97 | Professional | 52 · Reduced service | $97.72 | $131.83 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $52.48 Typical High $74.13 | Professional | 53 · Discontinued | $38.90 | $52.48 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $194.98 Typical High $275.42 | Professional | 54 · Surgery only | $144.54 | $194.98 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $39.81 Typical High $54.95 | Professional | 55 · Aftercare only | $28.84 | $39.81 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $26.30 Typical High $36.31 | Professional | 56 · Pre-op care only | $19.50 | $26.30 | $36.31 |
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· 11th of 51
$380
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.