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 $93.33 Median $295.12 Typical High $707.95 | Facility | None | $93.33 | $295.12 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $123.03 | Professional | None | $93.33 | $93.33 | $123.03 |
BCBS Nebraska Setting Facility Modifier None Typical Low $275.42 Median $389.05 Typical High $741.31 | Facility | None | $275.42 | $389.05 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $245.47 | Professional | None | $181.97 | $208.93 | $245.47 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $416.87 Typical High $549.54 | Facility | None | $69.18 | $416.87 | $549.54 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $229.09 Typical High $3,162.28 | Professional | None | $114.82 | $229.09 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $257.04 | Professional | None | $194.98 | $208.93 | $257.04 |
Midlands Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $257.04 | Professional | None | $194.98 | $218.78 | $257.04 |
United Setting Facility Modifier None Typical Low $407.38 Median $436.52 Typical High $562.34 | Facility | None | $407.38 | $436.52 | $562.34 |
United Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $245.47 | Professional | None | $104.71 | $194.98 | $245.47 |
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 $46.77 Median $46.77 Typical High $61.66 | Professional | 52 · Reduced service | $46.77 | $46.77 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $24.55 | Professional | 53 · Discontinued | $18.62 | $18.62 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $18.62 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $12.30 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $12.30 |
Where Nebraska sits
The same service costs 3.0 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· 3rd of 51
$209
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.