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 $186.21 Median $7,585.78 Typical High $12,589.25 | Facility | None | $186.21 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $169.82 Typical High $239.88 | Professional | None | $63.10 | $169.82 | $239.88 |
BCBS Nebraska Setting Facility Modifier None Typical Low $537.03 Median $691.83 Typical High $1,445.44 | Facility | None | $537.03 | $691.83 | $1,445.44 |
BCBS Nebraska Setting Professional Modifier None Typical Low $52.48 Median $95.50 Typical High $125.89 | Professional | None | $52.48 | $95.50 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $363.08 Typical High $467.74 | Professional | None | $134.90 | $363.08 | $467.74 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $251.19 Typical High $363.08 | Facility | None | $57.54 | $251.19 | $363.08 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $416.87 Typical High $1,230.27 | Professional | None | $251.19 | $416.87 | $1,230.27 |
Midlands Setting Professional Modifier None Typical Low $134.90 Median $363.08 Typical High $501.19 | Professional | None | $134.90 | $363.08 | $501.19 |
Midlands Setting Professional Modifier None Typical Low $138.04 Median $407.38 Typical High $501.19 | Professional | None | $138.04 | $407.38 | $501.19 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $48.98 | Facility | None | $43.65 | $43.65 | $48.98 |
United Setting Professional Modifier None Typical Low $114.82 Median $234.42 Typical High $489.78 | Professional | None | $114.82 | $234.42 | $489.78 |
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 $31.62 Median $40.74 Typical High $93.33 | Professional | 52 · Reduced service | $31.62 | $40.74 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $16.60 Typical High $37.15 | Professional | 53 · Discontinued | $12.59 | $16.60 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $61.66 Typical High $138.04 | Professional | 54 · Surgery only | $46.77 | $61.66 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $12.30 Typical High $27.54 | Professional | 55 · Aftercare only | $9.33 | $12.30 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $8.13 Typical High $18.62 | Professional | 56 · Pre-op care only | $6.31 | $8.13 | $18.62 |
Where Nebraska sits
The same service costs 2.9 times more in Washington 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· 48th of 51
$117
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.