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 $74.13 Median $74.13 Typical High $107.15 | Facility | None | $74.13 | $74.13 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $263.03 | Professional | None | $74.13 | $107.15 | $263.03 |
Ambetter Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $229.09 | Professional | None | $138.04 | $162.18 | $229.09 |
BCBS Nebraska Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $275.42 | Facility | None | $234.42 | $234.42 | $275.42 |
BCBS Nebraska Setting Professional Modifier None Typical Low $64.57 Median $109.65 Typical High $147.91 | Professional | None | $64.57 | $109.65 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $218.78 Typical High $281.84 | Professional | None | $138.04 | $218.78 | $281.84 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $190.55 Typical High $354.81 | Facility | None | $117.49 | $190.55 | $354.81 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $295.12 Typical High $707.95 | Professional | None | $134.90 | $295.12 | $707.95 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $288.40 | Professional | None | $158.49 | $218.78 | $288.40 |
Midlands Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $302.00 | Professional | None | $154.88 | $223.87 | $302.00 |
United Setting Professional Modifier None Typical Low $97.72 Median $190.55 Typical High $295.12 | Professional | None | $97.72 | $190.55 | $295.12 |
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 $37.15 Median $41.69 Typical High $53.70 | Professional | 52 · Reduced service | $37.15 | $41.69 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $12.59 Typical High $16.22 | Professional | 55 · Aftercare only | $10.96 | $12.59 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.51 Typical High $10.72 | Professional | 56 · Pre-op care only | $7.41 | $8.51 | $10.72 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $95.50 Median $112.20 Typical High $251.19 | Professional | 25 · Same-day visit | $95.50 | $112.20 | $251.19 |
Where Nebraska sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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
$138
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.