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 $23.44 Median $31.62 Typical High $1,071.52 | Facility | None | $23.44 | $31.62 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $812.83 Typical High $1,071.52 | Professional | None | $23.44 | $812.83 | $1,071.52 |
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 |
BCBS Nebraska Setting Professional Modifier None Typical Low $29.51 Median $31.62 Typical High $32.36 | Professional | None | $29.51 | $31.62 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $1,445.44 Typical High $2,691.53 | Professional | None | $39.81 | $1,445.44 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $1,659.59 Typical High $2,570.40 | Facility | None | $53.70 | $1,659.59 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $1,949.84 Typical High $7,244.36 | Professional | None | $223.87 | $1,949.84 | $7,244.36 |
Midlands Setting Professional Modifier None Typical Low $39.81 Median $1,659.59 Typical High $3,388.44 | Professional | None | $39.81 | $1,659.59 | $3,388.44 |
Midlands Setting Professional Modifier None Typical Low $39.81 Median $1,698.24 Typical High $3,388.44 | Professional | None | $39.81 | $1,698.24 | $3,388.44 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $2,137.96 Typical High $2,754.23 | Facility | None | $1,995.26 | $2,137.96 | $2,754.23 |
United Setting Professional Modifier None Typical Low $28.84 Median $1,202.26 Typical High $2,818.38 | Professional | None | $28.84 | $1,202.26 | $2,818.38 |
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 $15.85 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $15.85 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier HQ · Group setting Typical Low $724.44 Median $1,445.44 Typical High $1,445.44 | Professional | HQ · Group setting | $724.44 | $1,445.44 | $1,445.44 |
Where Nebraska sits
The same service costs 49.0 times more in Hawaii than in Maryland. 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· 45th of 51
$813
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.