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 $67.61 Median $67.61 Typical High $81.28 | Facility | None | $67.61 | $67.61 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $75.86 Typical High $81.28 | Professional | None | $67.61 | $75.86 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $151.36 Typical High $151.36 | Professional | None | $95.50 | $151.36 | $151.36 |
BCBS Nebraska Setting Facility Modifier None Typical Low $77.62 Median $112.20 Typical High $218.78 | Facility | None | $77.62 | $112.20 | $218.78 |
BCBS Nebraska Setting Professional Modifier None Typical Low $58.88 Median $100.00 Typical High $134.90 | Professional | None | $58.88 | $100.00 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $208.93 | Professional | None | $123.03 | $165.96 | $208.93 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $147.91 Typical High $316.23 | Facility | None | $107.15 | $147.91 | $316.23 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $223.87 Typical High $549.54 | Professional | None | $104.71 | $223.87 | $549.54 |
Midlands Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $218.78 | Professional | None | $144.54 | $169.82 | $218.78 |
Midlands Setting Professional Modifier None Typical Low $138.04 Median $177.83 Typical High $223.87 | Professional | None | $138.04 | $177.83 | $223.87 |
United Setting Professional Modifier None Typical Low $87.10 Median $162.18 Typical High $223.87 | Professional | None | $87.10 | $162.18 | $223.87 |
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 $33.11 Median $35.48 Typical High $40.74 | Professional | 52 · Reduced service | $33.11 | $35.48 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.72 Typical High $12.02 | Professional | 55 · Aftercare only | $10.00 | $10.72 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.08 Typical High $8.13 | Professional | 56 · Pre-op care only | $6.76 | $7.08 | $8.13 |
Where Nebraska sits
The same service costs 2.9 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· 11th of 51
$115
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.