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 $89.13 Median $89.13 Typical High $123.03 | Facility | None | $89.13 | $89.13 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $269.15 | Professional | None | $89.13 | $123.03 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $218.78 | Professional | None | $120.23 | $173.78 | $218.78 |
BCBS Nebraska Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $316.23 | Facility | None | $269.15 | $269.15 | $316.23 |
BCBS Nebraska Setting Professional Modifier None Typical Low $75.86 Median $131.83 Typical High $177.83 | Professional | None | $75.86 | $131.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $316.23 | Professional | None | $162.18 | $245.47 | $316.23 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $218.78 Typical High $416.87 | Facility | None | $141.25 | $218.78 | $416.87 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $309.03 Typical High $812.83 | Professional | None | $151.36 | $309.03 | $812.83 |
Midlands Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $323.59 | Professional | None | $186.21 | $251.19 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $338.84 | Professional | None | $186.21 | $269.15 | $338.84 |
Oscar Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $245.47 | Professional | None | $102.33 | $102.33 | $245.47 |
United Setting Professional Modifier None Typical Low $114.82 Median $208.93 Typical High $331.13 | Professional | None | $114.82 | $208.93 | $331.13 |
6 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 $43.65 Median $47.86 Typical High $60.26 | Professional | 52 · Reduced service | $43.65 | $47.86 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $14.45 Typical High $18.20 | Professional | 55 · Aftercare only | $13.18 | $14.45 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $9.55 Typical High $12.30 | Professional | 56 · Pre-op care only | $8.91 | $9.55 | $12.30 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $107.15 Median $138.04 Typical High $204.17 | Professional | 25 · Same-day visit | $107.15 | $138.04 | $204.17 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | GC · Resident with teaching physician | $151.36 | $151.36 | $151.36 |
Medica Setting Professional Modifier 25 · Same-day visit Typical Low $190.55 Median $257.04 Typical High $316.23 | Professional | 25 · Same-day visit | $190.55 | $257.04 | $316.23 |
Where Nebraska sits
The same service costs 2.7 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· 11th of 51
$158
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.