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 $57.54 Median $57.54 Typical High $63.10 | Facility | None | $57.54 | $57.54 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $63.10 | Professional | None | $57.54 | $63.10 | $63.10 |
BCBS Nebraska Setting Facility Modifier None Typical Low $53.70 Median $64.57 Typical High $70.79 | Facility | None | $53.70 | $64.57 | $70.79 |
BCBS Nebraska Setting Professional Modifier None Typical Low $61.66 Median $64.57 Typical High $64.57 | Professional | None | $61.66 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $75.86 | Professional | None | $60.26 | $64.57 | $75.86 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $102.33 Typical High $223.87 | Facility | None | $47.86 | $102.33 | $223.87 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $309.03 | Professional | None | $47.86 | $53.70 | $309.03 |
Midlands Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $75.86 | Professional | None | $64.57 | $66.07 | $75.86 |
Midlands Setting Professional Modifier None Typical Low $58.88 Median $72.44 Typical High $104.71 | Professional | None | $58.88 | $72.44 | $104.71 |
United Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $79.43 | Professional | None | $51.29 | $57.54 | $79.43 |
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 $28.84 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $28.84 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $11.48 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $9.33 Typical High $9.33 | Professional | 55 · Aftercare only | $8.51 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.75 | $6.31 | $6.31 |
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· 45th of 51
$61.66
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.