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 $4.07 Median $4.07 Typical High $4.07 | Facility | None | $4.07 | $4.07 | $4.07 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.79 | Professional | None | $4.07 | $4.07 | $4.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | 53 · Discontinued | $0.81 | $0.81 | $0.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | 55 · Aftercare only | $0.62 | $0.62 | $0.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.41 Median $0.41 Typical High $0.41 | Professional | 56 · Pre-op care only | $0.41 | $0.41 | $0.41 |
Ambetter Setting Professional Modifier None Typical Low $3.80 Median $5.37 Typical High $9.12 | Professional | None | $3.80 | $5.37 | $9.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $3.80 Median $4.57 Typical High $7.76 | Professional | 59 · Distinct service | $3.80 | $4.57 | $7.76 |
BCBS Nebraska Setting Facility Modifier None Typical Low $70.79 Median $154.88 Typical High $323.59 | Facility | None | $70.79 | $154.88 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $10.00 | Professional | None | $8.13 | $8.13 | $10.00 |
Medica Setting Facility Modifier None Typical Low $7.76 Median $43.65 Typical High $70.79 | Facility | None | $7.76 | $43.65 | $70.79 |
Medica Setting Professional Modifier None Typical Low $7.59 Median $29.51 Typical High $29.51 | Professional | None | $7.59 | $29.51 | $29.51 |
Midlands Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $12.59 | Professional | None | $9.55 | $9.55 | $12.59 |
Midlands Setting Professional Modifier None Typical Low $7.59 Median $9.55 Typical High $12.02 | Professional | None | $7.59 | $9.55 | $12.02 |
Oscar Health Setting Facility Modifier None Typical Low $165.96 Median $194.98 Typical High $204.17 | Facility | None | $165.96 | $194.98 | $204.17 |
United Setting Facility Modifier None Typical Low $46.77 Median $50.12 Typical High $63.10 | Facility | None | $46.77 | $50.12 | $63.10 |
United Setting Professional Modifier None Typical Low $6.92 Median $8.71 Typical High $11.48 | Professional | None | $6.92 | $8.71 | $11.48 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | XU · Unusual separate service | $5.25 | $5.25 | $5.25 |
Where Nebraska sits
The same service costs 2.7 times more in North Dakota than in New Mexico. 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· 3rd of 51
$8.13
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.