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 $20.42 Median $20.42 Typical High $77.62 | Facility | None | $20.42 | $20.42 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $30.90 Typical High $77.62 | Professional | None | $20.42 | $30.90 | $77.62 |
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 $16.60 Median $28.18 Typical High $38.02 | Professional | None | $16.60 | $28.18 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $72.44 Typical High $177.83 | Professional | None | $37.15 | $72.44 | $177.83 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $147.91 Typical High $190.55 | Facility | None | $38.90 | $147.91 | $190.55 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $181.97 Typical High $524.81 | Professional | None | $93.33 | $181.97 | $524.81 |
Midlands Setting Professional Modifier None Typical Low $43.65 Median $147.91 Typical High $199.53 | Professional | None | $43.65 | $147.91 | $199.53 |
Midlands Setting Professional Modifier None Typical Low $41.69 Median $158.49 Typical High $199.53 | Professional | None | $41.69 | $158.49 | $199.53 |
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 $29.51 Median $34.67 Typical High $104.71 | Professional | None | $29.51 | $34.67 | $104.71 |
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 $10.23 Median $15.49 Typical High $38.90 | Professional | 52 · Reduced service | $10.23 | $15.49 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $6.17 Typical High $15.49 | Professional | 53 · Discontinued | $4.07 | $6.17 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $4.57 Typical High $11.75 | Professional | 55 · Aftercare only | $3.09 | $4.57 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $5.62 Typical High $7.76 | Professional | 56 · Pre-op care only | $2.04 | $5.62 | $7.76 |
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 4.4 times more in Hawaii 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· 48th of 51
$35.48
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.