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 $58.88 Median $7,585.78 Typical High $12,589.25 | Facility | None | $58.88 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $58.88 Typical High $95.50 | Professional | None | $45.71 | $58.88 | $95.50 |
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 $39.81 Median $67.61 Typical High $91.20 | Professional | None | $39.81 | $67.61 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $57.54 Typical High $63.10 | Facility | None | $47.86 | $57.54 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $141.25 Typical High $154.88 | Professional | None | $107.15 | $141.25 | $154.88 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $223.87 Typical High $1,288.25 | Facility | None | $72.44 | $223.87 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $436.52 Typical High $1,862.09 | Professional | None | $107.15 | $436.52 | $1,862.09 |
Midlands Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $158.49 | Professional | None | $117.49 | $144.54 | $158.49 |
Midlands Setting Facility Modifier None Typical Low $47.86 Median $54.95 Typical High $67.61 | Facility | None | $47.86 | $54.95 | $67.61 |
Midlands Setting Professional Modifier None Typical Low $93.33 Median $144.54 Typical High $158.49 | Professional | None | $93.33 | $144.54 | $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 $72.44 Median $117.49 Typical High $158.49 | Professional | None | $72.44 | $117.49 | $158.49 |
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 $22.91 Median $29.51 Typical High $42.66 | Professional | 52 · Reduced service | $22.91 | $29.51 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $11.75 Typical High $16.98 | Professional | 53 · Discontinued | $9.12 | $11.75 | $16.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $44.67 Typical High $64.57 | Professional | 54 · Surgery only | $33.88 | $44.67 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $8.91 Typical High $12.88 | Professional | 55 · Aftercare only | $6.92 | $8.91 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $5.89 Typical High $8.51 | Professional | 56 · Pre-op care only | $4.57 | $5.89 | $8.51 |
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· 13th of 51
$89.13
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.