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 $28.84 Median $91.20 Typical High $213.80 | Facility | None | $28.84 | $91.20 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $75.86 Typical High $194.98 | Professional | None | $28.84 | $75.86 | $194.98 |
BCBS Nebraska Setting Facility Modifier None Typical Low $134.90 Median $354.81 Typical High $741.31 | Facility | None | $134.90 | $354.81 | $741.31 |
BCBS Nebraska Setting Professional Modifier None Typical Low $24.55 Median $41.69 Typical High $56.23 | Professional | None | $24.55 | $41.69 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $154.88 Typical High $199.53 | Professional | None | $57.54 | $154.88 | $199.53 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $117.49 Typical High $147.91 | Facility | None | $51.29 | $117.49 | $147.91 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $213.80 Typical High $588.84 | Professional | None | $95.50 | $213.80 | $588.84 |
Midlands Setting Professional Modifier None Typical Low $57.54 Median $154.88 Typical High $208.93 | Professional | None | $57.54 | $154.88 | $208.93 |
Midlands Setting Professional Modifier None Typical Low $56.23 Median $165.96 Typical High $208.93 | Professional | None | $56.23 | $165.96 | $208.93 |
United Setting Facility Modifier None Typical Low $89.13 Median $95.50 Typical High $123.03 | Facility | None | $89.13 | $95.50 | $123.03 |
United Setting Professional Modifier None Typical Low $34.67 Median $77.62 Typical High $204.17 | Professional | None | $34.67 | $77.62 | $204.17 |
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 $14.45 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $14.45 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $15.85 Typical High $16.22 | Professional | 53 · Discontinued | $5.75 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $12.02 Typical High $12.02 | Professional | 55 · Aftercare only | $4.27 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $2.88 | $7.94 | $7.94 |
Where Nebraska sits
The same service costs 3.6 times more in North Carolina 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
$57.54
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.