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 $38.90 Median $7,585.78 Typical High $12,589.25 | Facility | None | $38.90 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $38.90 Typical High $95.50 | Professional | None | $32.36 | $38.90 | $95.50 |
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 $28.18 Median $48.98 Typical High $67.61 | Professional | None | $28.18 | $48.98 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $34.67 | Facility | None | $25.12 | $25.12 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $93.33 Typical High $102.33 | Professional | None | $75.86 | $93.33 | $102.33 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $234.42 Typical High $1,513.56 | Facility | None | $60.26 | $234.42 | $1,513.56 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $416.87 Typical High $812.83 | Professional | None | $70.79 | $416.87 | $812.83 |
Midlands Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $104.71 | Professional | None | $81.28 | $95.50 | $104.71 |
Midlands Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $34.67 | Facility | None | $25.12 | $25.12 | $34.67 |
Midlands Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $107.15 | Professional | None | $66.07 | $93.33 | $107.15 |
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 $48.98 Median $81.28 Typical High $104.71 | Professional | None | $48.98 | $81.28 | $104.71 |
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 $15.85 Median $19.50 Typical High $30.20 | Professional | 52 · Reduced service | $15.85 | $19.50 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.76 Typical High $12.02 | Professional | 53 · Discontinued | $6.46 | $7.76 | $12.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $23.99 Median $28.84 Typical High $45.71 | Professional | 54 · Surgery only | $23.99 | $28.84 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $5.75 Typical High $9.12 | Professional | 55 · Aftercare only | $4.79 | $5.75 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.89 Typical High $6.03 | Professional | 56 · Pre-op care only | $3.24 | $3.89 | $6.03 |
Where Nebraska sits
The same service costs 3.8 times more in Alaska than in Utah. 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
$63.10
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.