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 $95.50 Median $114.82 Typical High $154.88 | Facility | None | $95.50 | $114.82 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $323.59 | Professional | None | $95.50 | $131.83 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
BCBS Nebraska Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $426.58 | Facility | None | $363.08 | $363.08 | $426.58 |
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 Professional Modifier None Typical Low $162.18 Median $309.03 Typical High $398.11 | Professional | None | $162.18 | $309.03 | $398.11 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $275.42 Typical High $602.56 | Facility | None | $204.17 | $275.42 | $602.56 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $426.58 Typical High $1,122.02 | Professional | None | $208.93 | $426.58 | $1,122.02 |
Midlands Setting Professional Modifier None Typical Low $309.03 Median $407.38 Typical High $407.38 | Professional | None | $309.03 | $407.38 | $407.38 |
Midlands Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $407.38 | Professional | None | $275.42 | $331.13 | $407.38 |
Oscar Health Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $346.74 | Professional | None | $77.62 | $102.33 | $346.74 |
United Setting Professional Modifier None Typical Low $177.83 Median $309.03 Typical High $436.52 | Professional | None | $177.83 | $309.03 | $436.52 |
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 $64.57 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $64.57 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $19.50 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $12.88 | $15.49 | $15.49 |
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· 8th 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.