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 $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $38.90 | Professional | None | $14.79 | $14.79 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
BCBS Nebraska Setting Facility Modifier None Typical Low $56.23 Median $416.87 Typical High $851.14 | Facility | None | $56.23 | $416.87 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $38.90 | Professional | None | $19.50 | $24.55 | $38.90 |
Medica Setting Facility Modifier None Typical Low $13.80 Median $27.54 Typical High $138.04 | Facility | None | $13.80 | $27.54 | $138.04 |
Medica Setting Professional Modifier None Typical Low $23.99 Median $37.15 Typical High $165.96 | Professional | None | $23.99 | $37.15 | $165.96 |
Midlands Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $40.74 | Professional | None | $20.42 | $24.55 | $40.74 |
Midlands Setting Professional Modifier None Typical Low $20.42 Median $38.02 Typical High $40.74 | Professional | None | $20.42 | $38.02 | $40.74 |
Oscar Health Setting Professional Modifier None Typical Low $15.85 Median $29.51 Typical High $36.31 | Professional | None | $15.85 | $29.51 | $36.31 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $14.45 | Facility | None | $12.88 | $12.88 | $14.45 |
United Setting Professional Modifier None Typical Low $23.99 Median $30.90 Typical High $39.81 | Professional | None | $23.99 | $30.90 | $39.81 |
4 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 $7.41 Median $7.41 Typical High $7.41 | Professional | 52 · Reduced service | $7.41 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $2.95 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | 55 · Aftercare only | $2.24 | $2.24 | $2.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | 56 · Pre-op care only | $1.48 | $1.48 | $1.48 |
Where Nebraska sits
The same service costs 2.8 times more in Alaska than in Louisiana. 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· 2nd of 51
$27.54
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.