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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $177.83 | Professional | None | $165.96 | $165.96 | $177.83 |
BCBS Nebraska Setting Facility Modifier None Typical Low $4,365.16 Median $5,754.40 Typical High $11,748.98 | Facility | None | $4,365.16 | $5,754.40 | $11,748.98 |
BCBS Nebraska Setting Professional Modifier None Typical Low $112.20 Median $117.49 Typical High $117.49 | Professional | None | $112.20 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $331.13 Typical High $1,819.70 | Professional | None | $199.53 | $331.13 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $2,290.87 Typical High $4,073.80 | Facility | None | $707.95 | $2,290.87 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $436.52 Typical High $5,011.87 | Professional | None | $194.98 | $436.52 | $5,011.87 |
Midlands Setting Professional Modifier None Typical Low $199.53 Median $331.13 Typical High $446.68 | Professional | None | $199.53 | $331.13 | $446.68 |
Midlands Setting Professional Modifier None Typical Low $223.87 Median $446.68 Typical High $851.14 | Professional | None | $223.87 | $446.68 | $851.14 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $2,754.23 Typical High $3,467.37 | Facility | None | $2,570.40 | $2,754.23 | $3,467.37 |
United Setting Professional Modifier None Typical Low $186.21 Median $316.23 Typical High $1,698.24 | Professional | None | $186.21 | $316.23 | $1,698.24 |
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 $81.28 Median $81.28 Typical High $87.10 | Professional | 52 · Reduced service | $81.28 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $35.48 | Professional | 53 · Discontinued | $33.11 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $26.30 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $17.78 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $17.78 |
Where Nebraska sits
The same service costs 7.6 times more in Colorado than in Rhode Island. 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
$316
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.