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 $398.11 Median $478.63 Typical High $794.33 | Facility | None | $398.11 | $478.63 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
BCBS Nebraska Setting Facility Modifier None Typical Low $380.19 Median $446.68 Typical High $537.03 | Facility | None | $380.19 | $446.68 | $537.03 |
BCBS Nebraska Setting Professional Modifier None Typical Low $426.58 Median $446.68 Typical High $446.68 | Professional | None | $426.58 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $562.34 | Professional | None | $436.52 | $489.78 | $562.34 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $776.25 Typical High $2,041.74 | Facility | None | $407.38 | $776.25 | $2,041.74 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $1,949.84 | Professional | None | $407.38 | $489.78 | $1,949.84 |
Midlands Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $562.34 | Professional | None | $436.52 | $489.78 | $562.34 |
Midlands Setting Professional Modifier None Typical Low $436.52 Median $537.03 Typical High $794.33 | Professional | None | $436.52 | $537.03 | $794.33 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
United Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $602.56 | Professional | None | $380.19 | $398.11 | $602.56 |
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 $234.42 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Where Nebraska sits
The same service costs 1.8 times more in Wyoming than in North Carolina. 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· 20th of 51
$479
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.