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 $602.56 Median $7,585.78 Typical High $12,589.25 | Facility | None | $602.56 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $218.78 Typical High $602.56 | Professional | None | $85.11 | $218.78 | $602.56 |
BCBS Nebraska Setting Facility Modifier None Typical Low $870.96 Median $1,905.46 Typical High $3,981.07 | Facility | None | $870.96 | $1,905.46 | $3,981.07 |
BCBS Nebraska Setting Professional Modifier None Typical Low $72.44 Median $128.82 Typical High $169.82 | Professional | None | $72.44 | $128.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $741.31 Typical High $1,584.89 | Professional | None | $181.97 | $741.31 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $1,230.27 Typical High $7,943.28 | Facility | None | $162.18 | $1,230.27 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $1,047.13 Typical High $4,677.35 | Professional | None | $501.19 | $1,047.13 | $4,677.35 |
Midlands Setting Professional Modifier None Typical Low $181.97 Median $741.31 Typical High $1,778.28 | Professional | None | $181.97 | $741.31 | $1,778.28 |
Midlands Setting Professional Modifier None Typical Low $181.97 Median $933.25 Typical High $1,778.28 | Professional | None | $181.97 | $933.25 | $1,778.28 |
United Setting Facility Modifier None Typical Low $3,090.30 Median $3,801.89 Typical High $8,128.31 | Facility | None | $3,090.30 | $3,801.89 | $8,128.31 |
United Setting Professional Modifier None Typical Low $158.49 Median $524.81 Typical High $1,318.26 | Professional | None | $158.49 | $524.81 | $1,318.26 |
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 $42.66 Median $54.95 Typical High $302.00 | Professional | 52 · Reduced service | $42.66 | $54.95 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $22.39 Typical High $120.23 | Professional | 53 · Discontinued | $16.98 | $22.39 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $83.18 Typical High $457.09 | Professional | 54 · Surgery only | $63.10 | $83.18 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $16.60 Typical High $91.20 | Professional | 55 · Aftercare only | $12.59 | $16.60 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $11.22 Typical High $60.26 | Professional | 56 · Pre-op care only | $8.51 | $11.22 | $60.26 |
Where Nebraska sits
The same service costs 9.5 times more in Washington 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· 49th of 51
$158
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.