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 $218.78 Median $7,943.28 Typical High $21,877.62 | Facility | None | $218.78 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $269.15 Typical High $575.44 | Professional | None | $120.23 | $269.15 | $575.44 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $426.58 Typical High $489.78 | Professional | None | $162.18 | $426.58 | $489.78 |
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 $100.00 Median $177.83 Typical High $234.42 | Professional | None | $100.00 | $177.83 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $1,412.54 | Facility | None | $190.55 | $245.47 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $436.52 Typical High $537.03 | Professional | None | $275.42 | $436.52 | $537.03 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $1,096.48 Typical High $3,715.35 | Facility | None | $407.38 | $1,096.48 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $489.78 Typical High $6,456.54 | Professional | None | $275.42 | $489.78 | $6,456.54 |
Midlands Setting Professional Modifier None Typical Low $281.84 Median $446.68 Typical High $549.54 | Professional | None | $281.84 | $446.68 | $549.54 |
Midlands Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $1,380.38 | Facility | None | $190.55 | $245.47 | $1,380.38 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $436.52 Typical High $501.19 | Professional | None | $239.88 | $436.52 | $501.19 |
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 $173.78 Median $295.12 Typical High $549.54 | Professional | None | $173.78 | $295.12 | $549.54 |
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 $60.26 Median $60.26 Typical High $109.65 | Professional | 52 · Reduced service | $60.26 | $60.26 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $43.65 | Professional | 53 · Discontinued | $23.99 | $23.99 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $91.20 Typical High $165.96 | Professional | 54 · Surgery only | $91.20 | $91.20 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $33.11 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $21.88 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $21.88 |
Where Nebraska sits
The same service costs 3.2 times more in Oklahoma than in Texas. 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· 47th of 51
$229
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.