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 $34.67 Median $34.67 Typical High $40.74 | Facility | None | $34.67 | $34.67 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $37.15 Typical High $40.74 | Professional | None | $34.67 | $37.15 | $40.74 |
BCBS Nebraska Setting Facility Modifier None Typical Low $120.23 Median $363.08 Typical High $758.58 | Facility | None | $120.23 | $363.08 | $758.58 |
BCBS Nebraska Setting Professional Modifier None Typical Low $21.88 Median $38.90 Typical High $52.48 | Professional | None | $21.88 | $38.90 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $77.62 | Professional | None | $33.88 | $47.86 | $77.62 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $50.12 Typical High $100.00 | Facility | None | $23.99 | $50.12 | $100.00 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $79.43 Typical High $199.53 | Professional | None | $50.12 | $79.43 | $199.53 |
Midlands Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $81.28 | Professional | None | $40.74 | $51.29 | $81.28 |
Midlands Setting Professional Modifier None Typical Low $37.15 Median $74.13 Typical High $81.28 | Professional | None | $37.15 | $74.13 | $81.28 |
United Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $19.95 | Facility | None | $17.78 | $17.78 | $19.95 |
United Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $81.28 | Professional | None | $43.65 | $61.66 | $81.28 |
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 $17.38 Median $18.62 Typical High $20.42 | Professional | 52 · Reduced service | $17.38 | $18.62 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.41 Typical High $8.13 | Professional | 53 · Discontinued | $6.92 | $7.41 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $5.62 Typical High $6.03 | Professional | 55 · Aftercare only | $5.25 | $5.62 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.72 Typical High $4.07 | Professional | 56 · Pre-op care only | $3.47 | $3.72 | $4.07 |
Where Nebraska sits
The same service costs 3.8 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· 4th of 51
$46.77
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.