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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | None | $100.00 | $100.00 | $104.71 |
BCBS Nebraska Setting Facility Modifier None Typical Low $380.19 Median $1,905.46 Typical High $3,981.07 | Facility | None | $380.19 | $1,905.46 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $257.04 | Professional | None | $213.80 | $223.87 | $257.04 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $194.98 Typical High $478.63 | Facility | None | $141.25 | $194.98 | $478.63 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $691.83 | Professional | None | $173.78 | $251.19 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $223.87 Typical High $269.15 | Professional | None | $218.78 | $223.87 | $269.15 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $295.12 | Professional | None | $213.80 | $269.15 | $295.12 |
Oscar Health Setting Professional Modifier None Typical Low $380.19 Median $389.05 Typical High $398.11 | Professional | None | $380.19 | $389.05 | $398.11 |
United Setting Professional Modifier None Typical Low $173.78 Median $218.78 Typical High $331.13 | Professional | None | $173.78 | $218.78 | $331.13 |
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 $50.12 Median $50.12 Typical High $52.48 | Professional | 52 · Reduced service | $50.12 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $20.89 | Professional | 53 · Discontinued | $19.95 | $19.95 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $14.79 Typical High $15.85 | Professional | 55 · Aftercare only | $14.79 | $14.79 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $10.47 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $10.47 |
Where Nebraska sits
The same service costs 2.8 times more in Alaska than in Texas. 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· 4th of 51
$224
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.