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 $74.13 Median $74.13 Typical High $91.20 | Facility | None | $74.13 | $74.13 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $91.20 | Professional | None | $74.13 | $85.11 | $91.20 |
BCBS Nebraska Setting Facility Modifier None Typical Low $97.72 Median $138.04 Typical High $263.03 | Facility | None | $97.72 | $138.04 | $263.03 |
BCBS Nebraska Setting Professional Modifier None Typical Low $69.18 Median $120.23 Typical High $158.49 | Professional | None | $69.18 | $120.23 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $251.19 | Professional | None | $144.54 | $194.98 | $251.19 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $154.88 Typical High $295.12 | Facility | None | $75.86 | $154.88 | $295.12 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $288.40 Typical High $724.44 | Professional | None | $123.03 | $288.40 | $724.44 |
Midlands Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $257.04 | Professional | None | $169.82 | $199.53 | $257.04 |
Midlands Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $263.03 | Professional | None | $162.18 | $208.93 | $263.03 |
United Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $257.04 | Professional | None | $104.71 | $194.98 | $257.04 |
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 $37.15 Median $42.66 Typical High $45.71 | Professional | 52 · Reduced service | $37.15 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $12.59 Typical High $13.49 | Professional | 55 · Aftercare only | $11.22 | $12.59 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $8.51 Typical High $9.12 | Professional | 56 · Pre-op care only | $7.59 | $8.51 | $9.12 |
Where Nebraska sits
The same service costs 2.5 times more in Alaska than in Florida. 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· 12th of 51
$145
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.