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 $128.82 Median $151.36 Typical High $199.53 | Facility | None | $128.82 | $151.36 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $199.53 | Professional | None | $128.82 | $169.82 | $199.53 |
BCBS Nebraska Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $512.86 | Facility | None | $436.52 | $436.52 | $512.86 |
BCBS Nebraska Setting Professional Modifier None Typical Low $147.91 Median $251.19 Typical High $338.84 | Professional | None | $147.91 | $251.19 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $407.38 Typical High $512.86 | Professional | None | $223.87 | $407.38 | $512.86 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $812.83 | Facility | None | $269.15 | $363.08 | $812.83 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $524.81 Typical High $1,348.96 | Professional | None | $257.04 | $524.81 | $1,348.96 |
Midlands Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $524.81 | Professional | None | $416.87 | $524.81 | $524.81 |
Midlands Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $524.81 | Professional | None | $363.08 | $426.58 | $524.81 |
Oscar Health Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $426.58 | Professional | None | $104.71 | $141.25 | $426.58 |
United Setting Professional Modifier None Typical Low $218.78 Median $389.05 Typical High $537.03 | Professional | None | $218.78 | $389.05 | $537.03 |
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 $87.10 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $87.10 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $30.20 Typical High $30.20 | Professional | 55 · Aftercare only | $25.70 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $19.95 Typical High $19.95 | Professional | 56 · Pre-op care only | $17.38 | $19.95 | $19.95 |
Ambetter Setting Professional Modifier 25 · Same-day visit + TH · Pregnancy care Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 25 · Same-day visit + TH · Pregnancy care | $204.17 | $204.17 | $204.17 |
Where Nebraska sits
The same service costs 2.4 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· 9th of 51
$257
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.