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 $41.69 Median $77.62 Typical High $141.25 | Facility | None | $41.69 | $77.62 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $53.70 Typical High $117.49 | Professional | None | $33.88 | $53.70 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $46.77 Median $85.11 Typical High $141.25 | Professional | None | $46.77 | $85.11 | $141.25 |
BCBS Nebraska Setting Facility Modifier None Typical Low $81.28 Median $87.10 Typical High $87.10 | Facility | None | $81.28 | $87.10 | $87.10 |
BCBS Nebraska Setting Professional Modifier None Typical Low $38.90 Median $66.07 Typical High $89.13 | Professional | None | $38.90 | $66.07 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $173.78 | Professional | None | $81.28 | $120.23 | $173.78 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $123.03 Typical High $263.03 | Facility | None | $70.79 | $123.03 | $263.03 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $173.78 Typical High $457.09 | Professional | None | $85.11 | $173.78 | $457.09 |
Midlands Setting Professional Modifier None Typical Low $95.50 Median $144.54 Typical High $186.21 | Professional | None | $95.50 | $144.54 | $186.21 |
Midlands Setting Professional Modifier None Typical Low $93.33 Median $147.91 Typical High $186.21 | Professional | None | $93.33 | $147.91 | $186.21 |
Oscar Health Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $104.71 | Professional | None | $61.66 | $87.10 | $104.71 |
United Setting Professional Modifier None Typical Low $58.88 Median $102.33 Typical High $181.97 | Professional | None | $58.88 | $102.33 | $181.97 |
5 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 $20.89 Median $25.12 Typical High $31.62 | Professional | 52 · Reduced service | $20.89 | $25.12 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $7.59 Typical High $9.55 | Professional | 55 · Aftercare only | $6.17 | $7.59 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $5.13 Typical High $6.31 | Professional | 56 · Pre-op care only | $4.17 | $5.13 | $6.31 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $60.26 Median $104.71 Typical High $177.83 | Professional | 25 · Same-day visit | $60.26 | $104.71 | $177.83 |
Medica Setting Professional Modifier 25 · Same-day visit Typical Low $107.15 Median $138.04 Typical High $177.83 | Professional | 25 · Same-day visit | $107.15 | $138.04 | $177.83 |
Where Nebraska sits
The same service costs 2.2 times more in Alaska than in New Jersey. 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· 11th of 51
$81.28
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.