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 $50.12 Median $50.12 Typical High $97.72 | Facility | None | $50.12 | $50.12 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $74.13 Typical High $97.72 | Professional | None | $50.12 | $74.13 | $97.72 |
BCBS Nebraska Setting Facility Modifier None Typical Low $91.20 Median $128.82 Typical High $630.96 | Facility | None | $91.20 | $128.82 | $630.96 |
BCBS Nebraska Setting Professional Modifier None Typical Low $39.81 Median $70.79 Typical High $93.33 | Professional | None | $39.81 | $70.79 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $223.87 | Professional | None | $93.33 | $134.90 | $223.87 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $213.80 Typical High $588.84 | Facility | None | $95.50 | $213.80 | $588.84 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $245.47 Typical High $676.08 | Professional | None | $125.89 | $245.47 | $676.08 |
Midlands Setting Professional Modifier None Typical Low $109.65 Median $199.53 Typical High $251.19 | Professional | None | $109.65 | $199.53 | $251.19 |
Midlands Setting Professional Modifier None Typical Low $102.33 Median $199.53 Typical High $251.19 | Professional | None | $102.33 | $199.53 | $251.19 |
United Setting Facility Modifier None Typical Low $549.54 Median $588.84 Typical High $758.58 | Facility | None | $549.54 | $588.84 | $758.58 |
United Setting Professional Modifier None Typical Low $30.20 Median $81.28 Typical High $141.25 | Professional | None | $30.20 | $81.28 | $141.25 |
5 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 $25.12 Median $37.15 Typical High $48.98 | Professional | 52 · Reduced service | $25.12 | $37.15 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $14.79 Typical High $19.95 | Professional | 53 · Discontinued | $10.00 | $14.79 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $11.22 Typical High $14.79 | Professional | 55 · Aftercare only | $7.59 | $11.22 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $7.41 Typical High $9.77 | Professional | 56 · Pre-op care only | $5.01 | $7.41 | $9.77 |
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Nebraska sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 17th of 51
$85.11
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.