How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $37.15 Median $37.15 Typical High $60.26 | Facility | None | $37.15 | $37.15 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $50.12 Typical High $60.26 | Professional | None | $37.15 | $50.12 | $60.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $251.19 | Facility | None | $213.80 | $213.80 | $251.19 |
BCBS Nebraska Setting Professional Modifier None Typical Low $31.62 Median $56.23 Typical High $74.13 | Professional | None | $31.62 | $56.23 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $89.13 Typical High $158.49 | Professional | None | $60.26 | $89.13 | $158.49 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $107.15 Typical High $194.98 | Facility | None | $60.26 | $107.15 | $194.98 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $158.49 Typical High $407.38 | Professional | None | $75.86 | $158.49 | $407.38 |
Midlands Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $165.96 | Professional | None | $69.18 | $104.71 | $165.96 |
Midlands Setting Professional Modifier None Typical Low $69.18 Median $114.82 Typical High $165.96 | Professional | None | $69.18 | $114.82 | $165.96 |
United Setting Facility Modifier None Typical Low $165.96 Median $177.83 Typical High $223.87 | Facility | None | $165.96 | $177.83 | $223.87 |
United Setting Professional Modifier None Typical Low $50.12 Median $93.33 Typical High $162.18 | Professional | None | $50.12 | $93.33 | $162.18 |
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 $18.62 Median $22.39 Typical High $30.20 | Professional | 52 · Reduced service | $18.62 | $22.39 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $6.76 Typical High $9.12 | Professional | 55 · Aftercare only | $5.62 | $6.76 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $4.47 Typical High $6.03 | Professional | 56 · Pre-op care only | $3.72 | $4.47 | $6.03 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 25 · Same-day visit | $53.70 | $53.70 | $53.70 |
Where Nebraska sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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· 12th of 51
$69.18
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.