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 $35.48 Median $41.69 Typical High $52.48 | Facility | None | $35.48 | $41.69 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $45.71 | Professional | None | $35.48 | $41.69 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $38.02 Median $66.07 Typical High $102.33 | Professional | None | $38.02 | $66.07 | $102.33 |
BCBS Nebraska Setting Facility Modifier None Typical Low $288.40 Median $380.19 Typical High $794.33 | Facility | None | $288.40 | $380.19 | $794.33 |
BCBS Nebraska Setting Professional Modifier None Typical Low $28.84 Median $50.12 Typical High $67.61 | Professional | None | $28.84 | $50.12 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $97.72 | Professional | None | $64.57 | $77.62 | $97.72 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $165.96 Typical High $288.40 | Facility | None | $67.61 | $165.96 | $288.40 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $79.43 Typical High $288.40 | Professional | None | $72.44 | $79.43 | $288.40 |
Midlands Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $114.82 | Professional | None | $75.86 | $97.72 | $114.82 |
Midlands Setting Professional Modifier None Typical Low $74.13 Median $83.18 Typical High $100.00 | Professional | None | $74.13 | $83.18 | $100.00 |
United Setting Facility Modifier None Typical Low $269.15 Median $288.40 Typical High $363.08 | Facility | None | $269.15 | $288.40 | $363.08 |
United Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $107.15 | Professional | None | $60.26 | $72.44 | $107.15 |
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 $17.38 Median $20.89 Typical High $21.88 | Professional | 52 · Reduced service | $17.38 | $20.89 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.32 Typical High $8.71 | Professional | 53 · Discontinued | $7.08 | $8.32 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $6.31 Typical High $6.46 | Professional | 55 · Aftercare only | $5.25 | $6.31 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $4.17 Typical High $4.37 | Professional | 56 · Pre-op care only | $3.55 | $4.17 | $4.37 |
Where Nebraska sits
The same service costs 2.9 times more in Alaska than in Kentucky. 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· 8th of 51
$57.54
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.