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 $104.71 Median $104.71 Typical High $208.93 | Facility | None | $104.71 | $104.71 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $104.71 Typical High $104.71 | Professional | None | $56.23 | $104.71 | $104.71 |
BCBS Nebraska Setting Facility Modifier None Typical Low $776.25 Median $1,047.13 Typical High $2,137.96 | Facility | None | $776.25 | $1,047.13 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $309.03 | Professional | None | $81.28 | $125.89 | $309.03 |
Medica Setting Facility Modifier None Typical Low $22.39 Median $39.81 Typical High $691.83 | Facility | None | $22.39 | $39.81 | $691.83 |
Medica Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $660.69 | Professional | None | $42.66 | $42.66 | $660.69 |
Midlands Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $288.40 | Professional | None | $81.28 | $125.89 | $288.40 |
Midlands Setting Professional Modifier None Typical Low $81.28 Median $144.54 Typical High $288.40 | Professional | None | $81.28 | $144.54 | $288.40 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $38.90 Median $42.66 Typical High $42.66 | Professional | None | $38.90 | $42.66 | $42.66 |
2 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 55 · Aftercare only Typical Low $9.77 Median $15.49 Typical High $15.49 | Professional | 55 · Aftercare only | $9.77 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $6.61 | $10.47 | $10.47 |
Where Nebraska sits
The same service costs 2.6 times more in Texas than in Connecticut. 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· 8th of 51
$81.28
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.