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 $27.54 Median $3,801.89 Typical High $11,481.54 | Facility | None | $27.54 | $3,801.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $27.54 Typical High $51.29 | Professional | None | $25.70 | $27.54 | $51.29 |
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 $22.39 Median $39.81 Typical High $52.48 | Professional | None | $22.39 | $39.81 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $83.18 | Professional | None | $60.26 | $66.07 | $83.18 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $169.82 Typical High $1,202.26 | Facility | None | $51.29 | $169.82 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $51.29 Median $512.86 Typical High $794.33 | Professional | None | $51.29 | $512.86 | $794.33 |
Midlands Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $83.18 | Professional | None | $64.57 | $69.18 | $83.18 |
Midlands Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Midlands Setting Professional Modifier None Typical Low $53.70 Median $66.07 Typical High $85.11 | Professional | None | $53.70 | $66.07 | $85.11 |
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 $40.74 Median $61.66 Typical High $79.43 | Professional | None | $40.74 | $61.66 | $79.43 |
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 $12.88 Median $13.80 Typical High $23.99 | Professional | 52 · Reduced service | $12.88 | $13.80 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.50 Typical High $9.55 | Professional | 53 · Discontinued | $5.13 | $5.50 | $9.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.05 Median $20.42 Typical High $36.31 | Professional | 54 · Surgery only | $19.05 | $20.42 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $4.07 Typical High $7.24 | Professional | 55 · Aftercare only | $3.80 | $4.07 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.75 Typical High $4.79 | Professional | 56 · Pre-op care only | $2.51 | $2.75 | $4.79 |
Where Nebraska sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 9th of 51
$51.29
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.