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 $7.24 Median $8.13 Typical High $18.20 | Facility | None | $7.24 | $8.13 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $8.13 Typical High $8.13 | Professional | None | $7.24 | $8.13 | $8.13 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6.92 Median $8.13 Typical High $9.12 | Facility | None | $6.92 | $8.13 | $9.12 |
BCBS Nebraska Setting Professional Modifier None Typical Low $7.76 Median $8.13 Typical High $8.13 | Professional | None | $7.76 | $8.13 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $6.46 Typical High $9.77 | Professional | None | $3.63 | $6.46 | $9.77 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $30.90 Typical High $72.44 | Facility | None | $9.33 | $30.90 | $72.44 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $7.76 Typical High $48.98 | Professional | None | $5.37 | $7.76 | $48.98 |
Midlands Setting Professional Modifier None Typical Low $6.46 Median $8.13 Typical High $9.77 | Professional | None | $6.46 | $8.13 | $9.77 |
Midlands Setting Professional Modifier None Typical Low $3.31 Median $9.33 Typical High $13.49 | Professional | None | $3.31 | $9.33 | $13.49 |
United Setting Professional Modifier None Typical Low $6.46 Median $7.24 Typical High $10.72 | Professional | None | $6.46 | $7.24 | $10.72 |
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 $3.63 Median $4.07 Typical High $4.07 | Professional | 52 · Reduced service | $3.63 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.62 Typical High $1.62 | Professional | 53 · Discontinued | $1.45 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.07 Median $1.23 Typical High $1.23 | Professional | 55 · Aftercare only | $1.07 | $1.23 | $1.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $0.81 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.72 | $0.81 | $0.81 |
Where Nebraska sits
Rates are fairly even across states for this service. 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· 49th of 51
$7.24
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.