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 $32.36 Median $32.36 Typical High $33.88 | Facility | None | $32.36 | $32.36 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $33.88 | Professional | None | $32.36 | $32.36 | $33.88 |
BCBS Nebraska Setting Facility Modifier None Typical Low $125.89 Median $467.74 Typical High $977.24 | Facility | None | $125.89 | $467.74 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $102.33 | Professional | None | $72.44 | $85.11 | $102.33 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $93.33 Typical High $162.18 | Facility | None | $70.79 | $93.33 | $162.18 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $102.33 Typical High $331.13 | Professional | None | $64.57 | $102.33 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $60.26 Median $97.72 Typical High $102.33 | Professional | None | $60.26 | $97.72 | $102.33 |
Midlands Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $97.72 | Professional | None | $72.44 | $81.28 | $97.72 |
United Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $151.36 | Professional | None | $63.10 | $74.13 | $151.36 |
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 $16.22 Median $16.22 Typical High $16.98 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $5.01 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.39 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.39 |
Where Nebraska sits
The same service costs 2.6 times more in Nebraska than in Texas. 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· 1st of 51
$93.33
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.