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 $91.20 Median $91.20 Typical High $120.23 | Facility | None | $91.20 | $91.20 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $120.23 | Professional | None | $91.20 | $112.20 | $120.23 |
BCBS Nebraska Setting Facility Modifier None Typical Low $91.20 Median $128.82 Typical High $426.58 | Facility | None | $91.20 | $128.82 | $426.58 |
BCBS Nebraska Setting Professional Modifier None Typical Low $72.44 Median $128.82 Typical High $169.82 | Professional | None | $72.44 | $128.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $257.04 | Professional | None | $169.82 | $213.80 | $257.04 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $416.87 | Facility | None | $173.78 | $229.09 | $416.87 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $309.03 Typical High $794.33 | Professional | None | $173.78 | $309.03 | $794.33 |
Midlands Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $309.03 | Professional | None | $194.98 | $257.04 | $309.03 |
Midlands Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $309.03 | Professional | None | $186.21 | $281.84 | $309.03 |
United Setting Professional Modifier None Typical Low $134.90 Median $173.78 Typical High $251.19 | Professional | None | $134.90 | $173.78 | $251.19 |
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 $45.71 Median $56.23 Typical High $60.26 | Professional | 52 · Reduced service | $45.71 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $22.39 Typical High $24.55 | Professional | 53 · Discontinued | $18.20 | $22.39 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $16.98 Typical High $18.20 | Professional | 55 · Aftercare only | $13.80 | $16.98 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $11.75 Typical High $12.02 | Professional | 56 · Pre-op care only | $9.12 | $11.75 | $12.02 |
Where Nebraska sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 12th of 51
$141
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.