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 $42.66 Median $42.66 Typical High $93.33 | Facility | None | $42.66 | $42.66 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $63.10 Typical High $93.33 | Professional | None | $42.66 | $63.10 | $93.33 |
BCBS Nebraska Setting Facility Modifier None Typical Low $91.20 Median $128.82 Typical High $245.47 | Facility | None | $91.20 | $128.82 | $245.47 |
BCBS Nebraska Setting Professional Modifier None Typical Low $33.88 Median $58.88 Typical High $79.43 | Professional | None | $33.88 | $58.88 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $114.82 Typical High $213.80 | Professional | None | $77.62 | $114.82 | $213.80 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $177.83 Typical High $204.17 | Facility | None | $79.43 | $177.83 | $204.17 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $229.09 Typical High $645.65 | Professional | None | $117.49 | $229.09 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $91.20 Median $190.55 Typical High $239.88 | Professional | None | $91.20 | $190.55 | $239.88 |
Midlands Setting Professional Modifier None Typical Low $87.10 Median $190.55 Typical High $245.47 | Professional | None | $87.10 | $190.55 | $245.47 |
United Setting Facility Modifier None Typical Low $165.96 Median $177.83 Typical High $223.87 | Facility | None | $165.96 | $177.83 | $223.87 |
United Setting Professional Modifier None Typical Low $30.20 Median $66.07 Typical High $131.83 | Professional | None | $30.20 | $66.07 | $131.83 |
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 $21.38 Median $31.62 Typical High $46.77 | Professional | 52 · Reduced service | $21.38 | $31.62 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $12.59 Typical High $19.05 | Professional | 53 · Discontinued | $8.51 | $12.59 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $9.55 Typical High $14.13 | Professional | 55 · Aftercare only | $6.31 | $9.55 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $6.31 Typical High $9.33 | Professional | 56 · Pre-op care only | $4.27 | $6.31 | $9.33 |
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 2.5 times more in Alaska than in Washington, DC. 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· 27th of 51
$72.44
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.