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 $11.48 Median $13.80 Typical High $13.80 | Facility | None | $11.48 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $30.20 | Professional | None | $11.48 | $12.88 | $30.20 |
BCBS Nebraska Setting Facility Modifier None Typical Low $10.47 Median $12.59 Typical High $15.14 | Facility | None | $10.47 | $12.59 | $15.14 |
BCBS Nebraska Setting Professional Modifier None Typical Low $16.22 Median $16.98 Typical High $16.98 | Professional | None | $16.22 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $17.78 Typical High $20.89 | Professional | None | $16.60 | $17.78 | $20.89 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $22.91 Typical High $109.65 | Facility | None | $12.02 | $22.91 | $109.65 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $89.13 | Professional | None | $12.02 | $14.13 | $89.13 |
Midlands Setting Professional Modifier None Typical Low $17.38 Median $17.78 Typical High $20.89 | Professional | None | $17.38 | $17.78 | $20.89 |
Midlands Setting Professional Modifier None Typical Low $17.78 Median $19.50 Typical High $30.20 | Professional | None | $17.78 | $19.50 | $30.20 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $13.18 Median $13.80 Typical High $20.89 | Professional | None | $13.18 | $13.80 | $20.89 |
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 $5.75 Median $5.75 Typical High $6.92 | Professional | 52 · Reduced service | $5.75 | $5.75 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.82 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.74 Median $1.74 Typical High $2.09 | Professional | 55 · Aftercare only | $1.74 | $1.74 | $2.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.15 Median $1.15 Typical High $1.38 | Professional | 56 · Pre-op care only | $1.15 | $1.15 | $1.38 |
Where Nebraska sits
The same service costs 1.8 times more in Alaska than in Kentucky. 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· 4th of 51
$16.60
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.