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 $8.32 Median $8.32 Typical High $21.88 | Facility | None | $8.32 | $8.32 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $12.02 Typical High $21.88 | Professional | None | $8.32 | $12.02 | $21.88 |
BCBS Nebraska Setting Facility Modifier None Typical Low $43.65 Median $457.09 Typical High $977.24 | Facility | None | $43.65 | $457.09 | $977.24 |
BCBS Nebraska Setting Professional Modifier None Typical Low $11.75 Median $12.59 Typical High $13.49 | Professional | None | $11.75 | $12.59 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $28.18 Typical High $52.48 | Professional | None | $13.49 | $28.18 | $52.48 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $34.67 Typical High $50.12 | Facility | None | $14.13 | $34.67 | $50.12 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $54.95 Typical High $147.91 | Professional | None | $33.88 | $54.95 | $147.91 |
Midlands Setting Professional Modifier None Typical Low $14.13 Median $34.67 Typical High $61.66 | Professional | None | $14.13 | $34.67 | $61.66 |
Midlands Setting Professional Modifier None Typical Low $14.45 Median $32.36 Typical High $61.66 | Professional | None | $14.45 | $32.36 | $61.66 |
United Setting Professional Modifier None Typical Low $13.80 Median $26.30 Typical High $53.70 | Professional | None | $13.80 | $26.30 | $53.70 |
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 $1.23 Median $1.66 Typical High $3.24 | Professional | 55 · Aftercare only | $1.23 | $1.66 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $1.10 Typical High $2.19 | Professional | 56 · Pre-op care only | $0.81 | $1.10 | $2.19 |
Where Nebraska sits
The same service costs 3.8 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· 10th of 51
$23.44
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.