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 $66.07 Median $208.93 Typical High $501.19 | Facility | None | $66.07 | $208.93 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Professional | None | $66.07 | $66.07 | $87.10 |
BCBS Nebraska Setting Facility Modifier None Typical Low $83.18 Median $2,398.83 Typical High $5,011.87 | Facility | None | $83.18 | $2,398.83 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $151.36 Typical High $181.97 | Professional | None | $131.83 | $151.36 | $181.97 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $128.82 Typical High $316.23 | Facility | None | $26.92 | $128.82 | $316.23 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $169.82 Typical High $489.78 | Professional | None | $87.10 | $169.82 | $489.78 |
Midlands Setting Professional Modifier None Typical Low $147.91 Median $151.36 Typical High $194.98 | Professional | None | $147.91 | $151.36 | $194.98 |
Midlands Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $190.55 | Professional | None | $138.04 | $154.88 | $190.55 |
United Setting Facility Modifier None Typical Low $57.54 Median $61.66 Typical High $79.43 | Facility | None | $57.54 | $61.66 | $79.43 |
United Setting Professional Modifier None Typical Low $79.43 Median $141.25 Typical High $186.21 | Professional | None | $79.43 | $141.25 | $186.21 |
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 $33.11 Median $33.11 Typical High $43.65 | Professional | 52 · Reduced service | $33.11 | $33.11 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $17.38 | Professional | 53 · Discontinued | $13.18 | $13.18 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $13.18 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $8.71 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $8.71 |
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
$151
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.