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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $144.54 | Professional | None | $66.07 | $66.07 | $144.54 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $147.91 | Professional | None | $125.89 | $125.89 | $147.91 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $3,981.07 | Facility | None | $1,318.26 | $1,862.09 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $181.97 | Professional | None | $125.89 | $144.54 | $181.97 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $173.78 Typical High $1,047.13 | Facility | None | $120.23 | $173.78 | $1,047.13 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $173.78 Typical High $851.14 | Professional | None | $114.82 | $173.78 | $851.14 |
Midlands Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $190.55 | Professional | None | $125.89 | $144.54 | $190.55 |
Midlands Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Midlands Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $190.55 | Professional | None | $125.89 | $154.88 | $190.55 |
Oscar Health Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $2,041.74 | Facility | None | $776.25 | $912.01 | $2,041.74 |
Oscar Health Setting Professional Modifier None Typical Low $63.10 Median $114.82 Typical High $144.54 | Professional | None | $63.10 | $114.82 | $144.54 |
United Setting Facility Modifier None Typical Low $851.14 Median $912.01 Typical High $1,174.90 | Facility | None | $851.14 | $912.01 | $1,174.90 |
United Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $186.21 | Professional | None | $114.82 | $154.88 | $186.21 |
4 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 $33.11 Median $33.11 Typical High $36.31 | Professional | 52 · Reduced service | $33.11 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $14.45 | Professional | 53 · Discontinued | $13.18 | $13.18 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $10.96 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $7.24 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $7.24 |
Where Nebraska sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 2nd of 51
$148
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.