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 $21.88 Median $21.88 Typical High $35.48 | Facility | None | $21.88 | $21.88 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $35.48 Typical High $87.10 | Professional | None | $21.88 | $35.48 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
BCBS Nebraska Setting Facility Modifier None Typical Low $77.62 Median $102.33 Typical High $213.80 | Facility | None | $77.62 | $102.33 | $213.80 |
BCBS Nebraska Setting Professional Modifier None Typical Low $19.50 Median $33.11 Typical High $43.65 | Professional | None | $19.50 | $33.11 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $93.33 | Professional | None | $42.66 | $67.61 | $93.33 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $64.57 Typical High $107.15 | Facility | None | $36.31 | $64.57 | $107.15 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $97.72 Typical High $245.47 | Professional | None | $45.71 | $97.72 | $245.47 |
Midlands Setting Professional Modifier None Typical Low $47.86 Median $74.13 Typical High $95.50 | Professional | None | $47.86 | $74.13 | $95.50 |
Midlands Setting Professional Modifier None Typical Low $46.77 Median $74.13 Typical High $100.00 | Professional | None | $46.77 | $74.13 | $100.00 |
United Setting Professional Modifier None Typical Low $28.84 Median $58.88 Typical High $100.00 | Professional | None | $28.84 | $58.88 | $100.00 |
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 $10.96 Median $13.80 Typical High $17.78 | Professional | 52 · Reduced service | $10.96 | $13.80 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $4.07 Typical High $5.37 | Professional | 55 · Aftercare only | $3.31 | $4.07 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $2.75 Typical High $3.63 | Professional | 56 · Pre-op care only | $2.19 | $2.75 | $3.63 |
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· 13th of 51
$42.66
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.