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 $77.62 Median $158.49 Typical High $11,481.54 | Facility | None | $77.62 | $158.49 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $102.33 Typical High $190.55 | Professional | None | $45.71 | $102.33 | $190.55 |
Ambetter Setting Professional Modifier None Typical Low $36.31 Median $60.26 Typical High $66.07 | Professional | None | $36.31 | $60.26 | $66.07 |
BCBS Nebraska Setting Facility Modifier None Typical Low $354.81 Median $478.63 Typical High $977.24 | Facility | None | $354.81 | $478.63 | $977.24 |
BCBS Nebraska Setting Professional Modifier None Typical Low $38.02 Median $67.61 Typical High $93.33 | Professional | None | $38.02 | $67.61 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $54.95 | Facility | None | $44.67 | $44.67 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $190.55 | Professional | None | $104.71 | $154.88 | $190.55 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $208.93 Typical High $1,230.27 | Facility | None | $83.18 | $208.93 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $186.21 Typical High $645.65 | Professional | None | $107.15 | $186.21 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $107.15 Median $162.18 Typical High $204.17 | Professional | None | $107.15 | $162.18 | $204.17 |
Midlands Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $54.95 | Facility | None | $44.67 | $44.67 | $54.95 |
Midlands Setting Professional Modifier None Typical Low $91.20 Median $154.88 Typical High $177.83 | Professional | None | $91.20 | $154.88 | $177.83 |
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 $66.07 Median $114.82 Typical High $263.03 | Professional | None | $66.07 | $114.82 | $263.03 |
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 $22.91 Typical High $38.90 | Professional | 52 · Reduced service | $22.91 | $22.91 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $15.49 | Professional | 53 · Discontinued | $9.33 | $9.33 | $15.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $34.67 Typical High $58.88 | Professional | 54 · Surgery only | $34.67 | $34.67 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $11.75 | Professional | 55 · Aftercare only | $6.92 | $6.92 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.57 Typical High $7.76 | Professional | 56 · Pre-op care only | $4.57 | $4.57 | $7.76 |
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· 35th of 51
$87.10
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.