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 $43.65 Median $138.04 Typical High $331.13 | Facility | None | $43.65 | $138.04 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $114.82 Typical High $302.00 | Professional | None | $43.65 | $114.82 | $302.00 |
BCBS Nebraska Setting Facility Modifier None Typical Low $275.42 Median $371.54 Typical High $741.31 | Facility | None | $275.42 | $371.54 | $741.31 |
BCBS Nebraska Setting Professional Modifier None Typical Low $38.02 Median $64.57 Typical High $87.10 | Professional | None | $38.02 | $64.57 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $234.42 Typical High $302.00 | Professional | None | $89.13 | $234.42 | $302.00 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $234.42 Typical High $309.03 | Facility | None | $79.43 | $234.42 | $309.03 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $302.00 Typical High $851.14 | Professional | None | $144.54 | $302.00 | $851.14 |
Midlands Setting Professional Modifier None Typical Low $89.13 Median $234.42 Typical High $331.13 | Professional | None | $89.13 | $234.42 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $87.10 Median $257.04 Typical High $331.13 | Professional | None | $87.10 | $257.04 | $331.13 |
United Setting Facility Modifier None Typical Low $263.03 Median $281.84 Typical High $363.08 | Facility | None | $263.03 | $281.84 | $363.08 |
United Setting Professional Modifier None Typical Low $52.48 Median $120.23 Typical High $309.03 | Professional | None | $52.48 | $120.23 | $309.03 |
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 $21.88 Median $57.54 Typical High $61.66 | Professional | 52 · Reduced service | $21.88 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $22.91 Typical High $24.55 | Professional | 53 · Discontinued | $8.91 | $22.91 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $16.98 Typical High $18.62 | Professional | 55 · Aftercare only | $6.61 | $16.98 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $11.48 Typical High $12.30 | Professional | 56 · Pre-op care only | $4.47 | $11.48 | $12.30 |
Where Nebraska sits
The same service costs 3.5 times more in Wisconsin 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
$89.13
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.