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 $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
BCBS Nebraska Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $467.74 | Facility | None | $173.78 | $229.09 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $61.66 | Professional | None | $39.81 | $46.77 | $61.66 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $120.23 Typical High $213.80 | Facility | None | $45.71 | $120.23 | $213.80 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $61.66 Typical High $239.88 | Professional | None | $41.69 | $61.66 | $239.88 |
Midlands Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $66.07 | Professional | None | $46.77 | $56.23 | $66.07 |
Midlands Setting Professional Modifier None Typical Low $50.12 Median $57.54 Typical High $66.07 | Professional | None | $50.12 | $57.54 | $66.07 |
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 $39.81 Median $57.54 Typical High $64.57 | Professional | None | $39.81 | $57.54 | $64.57 |
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 $12.02 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 55 · Aftercare only | $3.63 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | 56 · Pre-op care only | $2.40 | $2.40 | $2.40 |
Where Nebraska sits
The same service costs 2.5 times more in Minnesota than in Arkansas. 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· 7th of 51
$51.29
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.