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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $21.38 | Professional | None | $19.95 | $19.95 | $21.38 |
BCBS Nebraska Setting Facility Modifier None Typical Low $316.23 Median $870.96 Typical High $1,819.70 | Facility | None | $316.23 | $870.96 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $43.65 Typical High $52.48 | Professional | None | $42.66 | $43.65 | $52.48 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $302.00 Typical High $512.86 | Facility | None | $32.36 | $302.00 | $512.86 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $50.12 Typical High $275.42 | Professional | None | $33.88 | $50.12 | $275.42 |
Midlands Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $48.98 | Professional | None | $43.65 | $43.65 | $48.98 |
Midlands Setting Professional Modifier None Typical Low $43.65 Median $45.71 Typical High $57.54 | Professional | None | $43.65 | $45.71 | $57.54 |
Oscar Health Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $67.61 | Professional | None | $64.57 | $66.07 | $67.61 |
United Setting Facility Modifier None Typical Low $269.15 Median $288.40 Typical High $363.08 | Facility | None | $269.15 | $288.40 | $363.08 |
United Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $60.26 | Professional | None | $33.88 | $42.66 | $60.26 |
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 $10.00 Median $10.00 Typical High $10.47 | Professional | 52 · Reduced service | $10.00 | $10.00 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.27 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.02 Typical High $3.16 | Professional | 55 · Aftercare only | $3.02 | $3.02 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.00 Typical High $2.14 | Professional | 56 · Pre-op care only | $2.00 | $2.00 | $2.14 |
Where Nebraska sits
The same service costs 2.8 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
$43.65
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.