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 $77.62 Median $7,585.78 Typical High $12,589.25 | Facility | None | $77.62 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $50.12 Typical High $77.62 | Professional | None | $20.89 | $50.12 | $77.62 |
BCBS Nebraska Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $380.19 | Facility | None | $323.59 | $323.59 | $380.19 |
BCBS Nebraska Setting Professional Modifier None Typical Low $17.38 Median $31.62 Typical High $43.65 | Professional | None | $17.38 | $31.62 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $100.00 Typical High $190.55 | Professional | None | $37.15 | $100.00 | $190.55 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $120.23 Typical High $263.03 | Facility | None | $37.15 | $120.23 | $263.03 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $199.53 Typical High $537.03 | Professional | None | $95.50 | $199.53 | $537.03 |
Midlands Setting Professional Modifier None Typical Low $37.15 Median $120.23 Typical High $204.17 | Professional | None | $37.15 | $120.23 | $204.17 |
Midlands Setting Professional Modifier None Typical Low $37.15 Median $102.33 Typical High $204.17 | Professional | None | $37.15 | $102.33 | $204.17 |
United Setting Facility Modifier None Typical Low $251.19 Median $269.15 Typical High $338.84 | Facility | None | $251.19 | $269.15 | $338.84 |
United Setting Professional Modifier None Typical Low $28.18 Median $83.18 Typical High $199.53 | Professional | None | $28.18 | $83.18 | $199.53 |
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 $10.47 Median $20.89 Typical High $38.90 | Professional | 52 · Reduced service | $10.47 | $20.89 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $8.51 Typical High $15.49 | Professional | 53 · Discontinued | $4.17 | $8.51 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $6.31 Typical High $11.75 | Professional | 55 · Aftercare only | $3.09 | $6.31 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $4.27 Typical High $7.76 | Professional | 56 · Pre-op care only | $2.04 | $4.27 | $7.76 |
Where Nebraska sits
The same service costs 6.5 times more in Alaska than in Indiana. 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· 48th of 51
$38.02
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.