How much rates vary
Facilitymedian $155 · 10th to 90th $148 to $339Professionalmedian $204 · 10th to 90th $110 to $372
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 $117.49 Median $223.87 Typical High $331.13 | Facility | None | $117.49 | $223.87 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $288.40 | Professional | None | $95.50 | $128.82 | $288.40 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $302.00 | Professional | None | $131.83 | $186.21 | $302.00 |
BCBS Nebraska Setting Facility Modifier None Typical Low $147.91 Median $154.88 Typical High $158.49 | Facility | None | $147.91 | $154.88 | $158.49 |
BCBS Nebraska Setting Professional Modifier None Typical Low $109.65 Median $186.21 Typical High $251.19 | Professional | None | $109.65 | $186.21 | $251.19 |
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 $208.93 Median $309.03 Typical High $380.19 | Professional | None | $208.93 | $309.03 | $380.19 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $275.42 Typical High $512.86 | Facility | None | $144.54 | $275.42 | $512.86 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $354.81 Typical High $1,047.13 | Professional | None | $190.55 | $354.81 | $1,047.13 |
Midlands Setting Professional Modifier None Typical Low $245.47 Median $309.03 Typical High $446.68 | Professional | None | $245.47 | $309.03 | $446.68 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $338.84 Typical High $446.68 | Professional | None | $257.04 | $338.84 | $446.68 |
Oscar Health Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $229.09 | Professional | None | $141.25 | $190.55 | $229.09 |
United Setting Professional Modifier None Typical Low $151.36 Median $263.03 Typical High $407.38 | Professional | None | $151.36 | $263.03 | $407.38 |
10 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 $58.88 Median $63.10 Typical High $74.13 | Professional | 52 · Reduced service | $58.88 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $19.05 Typical High $21.88 | Professional | 55 · Aftercare only | $17.38 | $19.05 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.88 Typical High $14.79 | Professional | 56 · Pre-op care only | $11.75 | $12.88 | $14.79 |
Ambetter Setting Professional Modifier 24 · Unrelated visit after surgery Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 24 · Unrelated visit after surgery | $380.19 | $380.19 | $380.19 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $112.20 Median $234.42 Typical High $398.11 | Professional | 25 · Same-day visit | $112.20 | $234.42 | $398.11 |
Ambetter Setting Professional Modifier 57 · Decision for surgery Typical Low $213.80 Median $223.87 Typical High $346.74 | Professional | 57 · Decision for surgery | $213.80 | $223.87 | $346.74 |
Ambetter Setting Professional Modifier FS · Shared visit Typical Low $223.87 Median $416.87 Typical High $416.87 | Professional | FS · Shared visit | $223.87 | $416.87 | $416.87 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | GC · Resident with teaching physician | $275.42 | $275.42 | $275.42 |
Ambetter Setting Professional Modifier GF · Non-physician, rural hospital Typical Low $177.83 Median $177.83 Typical High $199.53 | Professional | GF · Non-physician, rural hospital | $177.83 | $177.83 | $199.53 |
Medica Setting Professional Modifier 25 · Same-day visit Typical Low $257.04 Median $323.59 Typical High $398.11 | Professional | 25 · Same-day visit | $257.04 | $323.59 | $398.11 |
Where Nebraska sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 12th of 51
$204
AK $263AL $115
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.