How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $63.10 Median $81.28 Typical High $107.15 | Facility | None | $63.10 | $81.28 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $107.15 | Professional | None | $63.10 | $85.11 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | None | $93.33 | $93.33 | $109.65 |
BCBS Nebraska Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $281.84 | Facility | None | $239.88 | $239.88 | $281.84 |
BCBS Nebraska Setting Professional Modifier None Typical Low $72.44 Median $123.03 Typical High $165.96 | Professional | None | $72.44 | $123.03 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $213.80 Typical High $275.42 | Professional | None | $114.82 | $213.80 | $275.42 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $194.98 Typical High $398.11 | Facility | None | $131.83 | $194.98 | $398.11 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $288.40 Typical High $741.31 | Professional | None | $141.25 | $288.40 | $741.31 |
Midlands Setting Professional Modifier None Typical Low $204.17 Median $281.84 Typical High $281.84 | Professional | None | $204.17 | $281.84 | $281.84 |
Midlands Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $281.84 | Professional | None | $177.83 | $229.09 | $281.84 |
Oscar Health Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $229.09 | Professional | None | $77.62 | $102.33 | $229.09 |
United Setting Professional Modifier None Typical Low $112.20 Median $194.98 Typical High $295.12 | Professional | None | $112.20 | $194.98 | $295.12 |
3 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 $42.66 Median $51.29 Typical High $53.70 | Professional | 52 · Reduced service | $42.66 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $15.49 Typical High $16.22 | Professional | 55 · Aftercare only | $12.59 | $15.49 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $10.23 Typical High $10.72 | Professional | 56 · Pre-op care only | $8.51 | $10.23 | $10.72 |
Where Nebraska sits
The same service costs 2.5 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· 11th of 51
$132
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.