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 $104.71 Median $213.80 Typical High $239.88 | Facility | None | $104.71 | $213.80 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $257.04 | Professional | None | $93.33 | $107.15 | $257.04 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $194.98 | Professional | None | $112.20 | $154.88 | $194.98 |
BCBS Nebraska Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $691.83 | Facility | None | $588.84 | $588.84 | $691.83 |
BCBS Nebraska Setting Professional Modifier None Typical Low $93.33 Median $158.49 Typical High $208.93 | Professional | None | $93.33 | $158.49 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $288.40 | Professional | None | $190.55 | $234.42 | $288.40 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $478.63 Typical High $1,995.26 | Facility | None | $177.83 | $478.63 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $331.13 Typical High $1,174.90 | Professional | None | $144.54 | $331.13 | $1,174.90 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $234.42 Typical High $331.13 | Professional | None | $213.80 | $234.42 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $338.84 | Professional | None | $208.93 | $269.15 | $338.84 |
Oscar Health Setting Professional Modifier None Typical Low $109.65 Median $199.53 Typical High $295.12 | Professional | None | $109.65 | $199.53 | $295.12 |
United Setting Professional Modifier None Typical Low $128.82 Median $229.09 Typical High $302.00 | Professional | None | $128.82 | $229.09 | $302.00 |
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 $46.77 Median $50.12 Typical High $52.48 | Professional | 52 · Reduced service | $46.77 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $15.14 Typical High $15.85 | Professional | 55 · Aftercare only | $14.13 | $15.14 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $10.00 Typical High $10.47 | Professional | 56 · Pre-op care only | $9.33 | $10.00 | $10.47 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $120.23 Median $158.49 Typical High $234.42 | Professional | 25 · Same-day visit | $120.23 | $158.49 | $234.42 |
Ambetter Setting Professional Modifier FS · Shared visit Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | FS · Shared visit | $199.53 | $199.53 | $199.53 |
Where Nebraska sits
The same service costs 2.7 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· 8th of 51
$191
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.