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 $75.86 Median $7,244.36 Typical High $12,589.25 | Facility | None | $75.86 | $7,244.36 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $112.20 Typical High $199.53 | Professional | None | $50.12 | $112.20 | $199.53 |
Ambetter Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
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 $41.69 Median $74.13 Typical High $102.33 | Professional | None | $41.69 | $74.13 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $74.13 | Facility | None | $69.18 | $69.18 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $190.55 | Professional | None | $112.20 | $158.49 | $190.55 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $229.09 Typical High $1,778.28 | Facility | None | $89.13 | $229.09 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $186.21 Typical High $660.69 | Professional | None | $104.71 | $186.21 | $660.69 |
Midlands Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $194.98 | Professional | None | $117.49 | $158.49 | $194.98 |
Midlands Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $74.13 | Facility | None | $69.18 | $69.18 | $74.13 |
Midlands Setting Professional Modifier None Typical Low $97.72 Median $151.36 Typical High $173.78 | Professional | None | $97.72 | $151.36 | $173.78 |
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 $125.89 Typical High $295.12 | Professional | None | $72.44 | $125.89 | $295.12 |
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 $25.12 Median $25.12 Typical High $38.02 | Professional | 52 · Reduced service | $25.12 | $25.12 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $15.14 | Professional | 53 · Discontinued | $10.00 | $10.00 | $15.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $37.15 Median $37.15 Typical High $57.54 | Professional | 54 · Surgery only | $37.15 | $37.15 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $7.59 Typical High $11.48 | Professional | 55 · Aftercare only | $7.59 | $7.59 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.01 Typical High $7.59 | Professional | 56 · Pre-op care only | $5.01 | $5.01 | $7.59 |
Where Nebraska sits
The same service costs 3.2 times more in Wisconsin 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· 30th of 51
$95.50
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.