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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $489.78 | Professional | None | $186.21 | $186.21 | $489.78 |
Ambetter Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,862.09 Median $2,454.71 Typical High $5,011.87 | Facility | None | $1,862.09 | $2,454.71 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $489.78 | Professional | None | $239.88 | $281.84 | $489.78 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $489.78 Typical High $1,071.52 | Facility | None | $338.84 | $489.78 | $1,071.52 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $371.54 Typical High $1,174.90 | Professional | None | $173.78 | $371.54 | $1,174.90 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $478.63 | Professional | None | $239.88 | $281.84 | $478.63 |
Midlands Setting Professional Modifier None Typical Low $229.09 Median $436.52 Typical High $478.63 | Professional | None | $229.09 | $436.52 | $478.63 |
United Setting Facility Modifier None Typical Low $407.38 Median $436.52 Typical High $562.34 | Facility | None | $407.38 | $436.52 | $562.34 |
United Setting Professional Modifier None Typical Low $165.96 Median $331.13 Typical High $512.86 | Professional | None | $165.96 | $331.13 | $512.86 |
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 $93.33 Median $93.33 Typical High $109.65 | Professional | 52 · Reduced service | $93.33 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $43.65 | Professional | 53 · Discontinued | $37.15 | $37.15 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $21.88 |
Where Nebraska sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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· 5th of 51
$309
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.