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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $95.50 | Professional | None | $83.18 | $83.18 | $95.50 |
BCBS Nebraska Setting Facility Modifier None Typical Low $346.74 Median $1,905.46 Typical High $3,981.07 | Facility | None | $346.74 | $1,905.46 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $177.83 Typical High $213.80 | Professional | None | $154.88 | $177.83 | $213.80 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $524.81 | Facility | None | $158.49 | $199.53 | $524.81 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $213.80 Typical High $933.25 | Professional | None | $141.25 | $213.80 | $933.25 |
Midlands Setting Professional Modifier None Typical Low $154.88 Median $177.83 Typical High $234.42 | Professional | None | $154.88 | $177.83 | $234.42 |
Midlands Setting Professional Modifier None Typical Low $154.88 Median $194.98 Typical High $234.42 | Professional | None | $154.88 | $194.98 | $234.42 |
United Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $229.09 | Professional | None | $141.25 | $194.98 | $229.09 |
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 $41.69 Median $41.69 Typical High $47.86 | Professional | 52 · Reduced service | $41.69 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $19.05 | Professional | 53 · Discontinued | $16.60 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $14.13 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $9.55 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $9.55 |
Where Nebraska sits
The same service costs 3.1 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
$195
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.