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 $20.89 Median $7,585.78 Typical High $12,589.25 | Facility | None | $20.89 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $54.95 | Professional | None | $17.78 | $20.89 | $54.95 |
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 $18.20 Median $32.36 Typical High $44.67 | Professional | None | $18.20 | $32.36 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $34.67 | Facility | None | $25.70 | $25.70 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $81.28 | Professional | None | $41.69 | $56.23 | $81.28 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $194.98 Typical High $1,288.25 | Facility | None | $50.12 | $194.98 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $302.00 Typical High $645.65 | Professional | None | $46.77 | $302.00 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $46.77 Median $75.86 Typical High $81.28 | Professional | None | $46.77 | $75.86 | $81.28 |
Midlands Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $34.67 | Facility | None | $25.70 | $25.70 | $34.67 |
Midlands Setting Professional Modifier None Typical Low $41.69 Median $47.86 Typical High $60.26 | Professional | None | $41.69 | $47.86 | $60.26 |
United Setting Facility Modifier None Typical Low $104.71 Median $223.87 Typical High $1,230.27 | Facility | None | $104.71 | $223.87 | $1,230.27 |
United Setting Professional Modifier None Typical Low $38.02 Median $53.70 Typical High $109.65 | Professional | None | $38.02 | $53.70 | $109.65 |
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 $8.91 Median $10.47 Typical High $16.60 | Professional | 52 · Reduced service | $8.91 | $10.47 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.17 Typical High $6.76 | Professional | 53 · Discontinued | $3.55 | $4.17 | $6.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $13.18 Median $15.49 Typical High $25.12 | Professional | 54 · Surgery only | $13.18 | $15.49 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $3.16 Typical High $5.01 | Professional | 55 · Aftercare only | $2.63 | $3.16 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $2.09 Typical High $3.31 | Professional | 56 · Pre-op care only | $1.78 | $2.09 | $3.31 |
Where Nebraska sits
The same service costs 4.3 times more in Wyoming 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· 32nd of 51
$41.69
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.