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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $489.78 | Professional | None | $467.74 | $467.74 | $489.78 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $3,162.28 | Facility | None | $1,174.90 | $1,548.82 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $1,230.27 | Professional | None | $851.14 | $1,047.13 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $933.25 Typical High $2,238.72 | Facility | None | $676.08 | $933.25 | $2,238.72 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,174.90 Typical High $3,630.78 | Professional | None | $676.08 | $1,174.90 | $3,630.78 |
Midlands Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $1,318.26 | Professional | None | $851.14 | $1,047.13 | $1,318.26 |
Midlands Setting Professional Modifier None Typical Low $977.24 Median $1,122.02 Typical High $1,318.26 | Professional | None | $977.24 | $1,122.02 | $1,318.26 |
Oscar Health Setting Professional Modifier None Typical Low $524.81 Median $954.99 Typical High $1,202.26 | Professional | None | $524.81 | $954.99 | $1,202.26 |
United Setting Professional Modifier None Typical Low $676.08 Median $977.24 Typical High $1,230.27 | Professional | None | $676.08 | $977.24 | $1,230.27 |
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 $234.42 Median $234.42 Typical High $245.47 | Professional | 52 · Reduced service | $234.42 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $97.72 | Professional | 53 · Discontinued | $93.33 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $74.13 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $48.98 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $48.98 |
Where Nebraska sits
The same service costs 3.2 times more in Alaska than in New York. 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
$1,047
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.