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 $47.86 Median $7,585.78 Typical High $12,589.25 | Facility | None | $47.86 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $47.86 | Professional | None | $30.20 | $47.86 | $47.86 |
BCBS Nebraska Setting Facility Modifier None Typical Low $199.53 Median $467.74 Typical High $977.24 | Facility | None | $199.53 | $467.74 | $977.24 |
BCBS Nebraska Setting Professional Modifier None Typical Low $26.92 Median $45.71 Typical High $60.26 | Professional | None | $26.92 | $45.71 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $70.79 Typical High $117.49 | Professional | None | $38.90 | $70.79 | $117.49 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $173.78 Typical High $1,202.26 | Facility | None | $66.07 | $173.78 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $323.59 | Professional | None | $74.13 | $107.15 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $40.74 Median $75.86 Typical High $117.49 | Professional | None | $40.74 | $75.86 | $117.49 |
Midlands Setting Professional Modifier None Typical Low $35.48 Median $63.10 Typical High $114.82 | Professional | None | $35.48 | $63.10 | $114.82 |
United Setting Facility Modifier None Typical Low $104.71 Median $234.42 Typical High $1,288.25 | Facility | None | $104.71 | $234.42 | $1,288.25 |
United Setting Professional Modifier None Typical Low $56.23 Median $81.28 Typical High $123.03 | Professional | None | $56.23 | $81.28 | $123.03 |
5 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 $15.14 Median $15.14 Typical High $23.99 | Professional | 52 · Reduced service | $15.14 | $15.14 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $9.55 | Professional | 53 · Discontinued | $6.03 | $6.03 | $9.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $22.39 Median $22.39 Typical High $35.48 | Professional | 54 · Surgery only | $22.39 | $22.39 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $7.08 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.02 Typical High $4.79 | Professional | 56 · Pre-op care only | $3.02 | $3.02 | $4.79 |
Where Nebraska sits
The same service costs 2.8 times more in Alaska than in California. 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· 21st of 51
$56.23
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.