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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $131.83 | Professional | None | $114.82 | $114.82 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
BCBS Nebraska Setting Facility Modifier None Typical Low $478.63 Median $1,862.09 Typical High $3,981.07 | Facility | None | $478.63 | $1,862.09 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $302.00 | Professional | None | $218.78 | $245.47 | $302.00 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $269.15 Typical High $1,548.82 | Facility | None | $204.17 | $269.15 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $1,174.90 | Professional | None | $194.98 | $295.12 | $1,174.90 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $323.59 | Professional | None | $218.78 | $245.47 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $269.15 Typical High $323.59 | Professional | None | $218.78 | $269.15 | $323.59 |
United Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $316.23 | Professional | None | $194.98 | $263.03 | $316.23 |
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 $57.54 Median $57.54 Typical High $60.26 | Professional | 52 · Reduced service | $57.54 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $23.99 | Professional | 53 · Discontinued | $22.91 | $22.91 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $18.20 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $12.02 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $12.02 |
Where Nebraska sits
The same service costs 3.2 times more in Alaska than in Utah. 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
$251
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.