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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
BCBS Nebraska Setting Facility Modifier None Typical Low $234.42 Median $338.84 Typical High $630.96 | Facility | None | $234.42 | $338.84 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $251.19 Typical High $295.12 | Professional | None | $218.78 | $251.19 | $295.12 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $223.87 Typical High $562.34 | Facility | None | $97.72 | $223.87 | $562.34 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $263.03 Typical High $776.25 | Professional | None | $199.53 | $263.03 | $776.25 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $257.04 Typical High $338.84 | Professional | None | $251.19 | $257.04 | $338.84 |
Midlands Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $338.84 | Professional | None | $190.55 | $251.19 | $338.84 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $109.65 | Facility | None | $97.72 | $97.72 | $109.65 |
United Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $323.59 | Professional | None | $199.53 | $251.19 | $323.59 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $11.75 |
Where Nebraska sits
The same service costs 2.8 times more in Alaska than in Indiana. 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· 2nd of 51
$251
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.