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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | None | $79.43 | $79.43 | $83.18 |
BCBS Nebraska Setting Facility Modifier None Typical Low $660.69 Median $891.25 Typical High $1,819.70 | Facility | None | $660.69 | $891.25 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $208.93 | Professional | None | $165.96 | $186.21 | $208.93 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $371.54 Typical High $891.25 | Facility | None | $141.25 | $371.54 | $891.25 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $537.03 | Professional | None | $144.54 | $199.53 | $537.03 |
Midlands Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $208.93 | Professional | None | $173.78 | $186.21 | $208.93 |
Midlands Setting Professional Modifier None Typical Low $173.78 Median $181.97 Typical High $245.47 | Professional | None | $173.78 | $181.97 | $245.47 |
Oscar Health Setting Professional Modifier None Typical Low $257.04 Median $263.03 Typical High $263.03 | Professional | None | $257.04 | $263.03 | $263.03 |
United Setting Facility Modifier None Typical Low $467.74 Median $501.19 Typical High $630.96 | Facility | None | $467.74 | $501.19 | $630.96 |
United Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $269.15 | Professional | None | $144.54 | $181.97 | $269.15 |
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 $39.81 Median $39.81 Typical High $40.74 | Professional | 52 · Reduced service | $39.81 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $16.60 | Professional | 53 · Discontinued | $15.85 | $15.85 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.02 Typical High $12.30 | Professional | 55 · Aftercare only | $12.02 | $12.02 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $8.32 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $8.32 |
Where Nebraska sits
The same service costs 2.9 times more in Alaska than in Florida. 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
$186
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.