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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $831.76 | Professional | None | $776.25 | $776.25 | $831.76 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $3,162.28 | Facility | None | $1,174.90 | $1,513.56 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $2,041.74 | Professional | None | $1,174.90 | $1,698.24 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $3,801.89 | Facility | None | $1,047.13 | $1,479.11 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,348.96 Typical High $5,370.32 | Professional | None | $758.58 | $1,348.96 | $5,370.32 |
Midlands Setting Professional Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $2,137.96 | Professional | None | $1,380.38 | $1,737.80 | $2,137.96 |
Midlands Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $2,187.76 | Professional | None | $1,445.44 | $1,819.70 | $2,187.76 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,230.27 Typical High $1,905.46 | Professional | None | $758.58 | $1,230.27 | $1,905.46 |
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 $389.05 Median $389.05 Typical High $416.87 | Professional | 52 · Reduced service | $389.05 | $389.05 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $165.96 | Professional | 53 · Discontinued | $154.88 | $154.88 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $83.18 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $83.18 |
Where Nebraska sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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
$1,380
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.