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 $138.04 Median $7,585.78 Typical High $12,589.25 | Facility | None | $138.04 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $138.04 Typical High $138.04 | Professional | None | $63.10 | $138.04 | $138.04 |
BCBS Nebraska Setting Facility Modifier None Typical Low $3,630.78 Median $4,786.30 Typical High $9,772.37 | Facility | None | $3,630.78 | $4,786.30 | $9,772.37 |
BCBS Nebraska Setting Professional Modifier None Typical Low $52.48 Median $91.20 Typical High $128.82 | Professional | None | $52.48 | $91.20 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $218.78 | Facility | None | $158.49 | $190.55 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $275.42 Typical High $338.84 | Professional | None | $141.25 | $275.42 | $338.84 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $1,071.52 Typical High $3,715.35 | Facility | None | $134.90 | $1,071.52 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $323.59 Typical High $1,071.52 | Professional | None | $177.83 | $323.59 | $1,071.52 |
Midlands Setting Professional Modifier None Typical Low $144.54 Median $288.40 Typical High $354.81 | Professional | None | $144.54 | $288.40 | $354.81 |
Midlands Setting Facility Modifier None Typical Low $158.49 Median $194.98 Typical High $239.88 | Facility | None | $158.49 | $194.98 | $239.88 |
Midlands Setting Professional Modifier None Typical Low $123.03 Median $269.15 Typical High $316.23 | Professional | None | $123.03 | $269.15 | $316.23 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,162.28 | Facility | None | $707.95 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier None Typical Low $87.10 Median $177.83 Typical High $346.74 | Professional | None | $87.10 | $177.83 | $346.74 |
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 $31.62 Median $31.62 Typical High $69.18 | Professional | 52 · Reduced service | $31.62 | $31.62 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $27.54 | Professional | 53 · Discontinued | $12.59 | $12.59 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $46.77 Typical High $102.33 | Professional | 54 · Surgery only | $46.77 | $46.77 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $20.42 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $13.80 | Professional | 56 · Pre-op care only | $6.31 | $6.31 | $13.80 |
Where Nebraska sits
The same service costs 5.9 times more in Oklahoma 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· 45th of 51
$123
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.