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 $91.20 Median $7,585.78 Typical High $12,589.25 | Facility | None | $91.20 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $100.00 Typical High $223.87 | Professional | None | $45.71 | $100.00 | $223.87 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
BCBS Nebraska Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $1,445.44 | Facility | None | $537.03 | $707.95 | $1,445.44 |
BCBS Nebraska Setting Professional Modifier None Typical Low $38.02 Median $67.61 Typical High $91.20 | Professional | None | $38.02 | $67.61 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $112.20 Typical High $141.25 | Facility | None | $93.33 | $112.20 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $181.97 Typical High $229.09 | Professional | None | $102.33 | $181.97 | $229.09 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $223.87 Typical High $1,513.56 | Facility | None | $81.28 | $223.87 | $1,513.56 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $223.87 Typical High $707.95 | Professional | None | $123.03 | $223.87 | $707.95 |
Midlands Setting Professional Modifier None Typical Low $102.33 Median $186.21 Typical High $234.42 | Professional | None | $102.33 | $186.21 | $234.42 |
Midlands Setting Facility Modifier None Typical Low $93.33 Median $114.82 Typical High $154.88 | Facility | None | $93.33 | $114.82 | $154.88 |
Midlands Setting Professional Modifier None Typical Low $89.13 Median $181.97 Typical High $208.93 | Professional | None | $89.13 | $181.97 | $208.93 |
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 $67.61 Median $123.03 Typical High $239.88 | Professional | None | $67.61 | $123.03 | $239.88 |
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 $22.39 Median $22.39 Typical High $45.71 | Professional | 52 · Reduced service | $22.39 | $22.39 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $18.62 | Professional | 53 · Discontinued | $9.12 | $9.12 | $18.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $33.88 Typical High $69.18 | Professional | 54 · Surgery only | $33.88 | $33.88 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $6.76 Typical High $13.80 | Professional | 55 · Aftercare only | $6.76 | $6.76 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.57 Typical High $9.12 | Professional | 56 · Pre-op care only | $4.57 | $4.57 | $9.12 |
Where Nebraska sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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· 42nd of 51
$91.20
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.