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 $16.60 Median $16.60 Typical High $33.11 | Facility | None | $16.60 | $16.60 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $25.12 Typical High $64.57 | Professional | None | $16.60 | $25.12 | $64.57 |
BCBS Nebraska Setting Facility Modifier None Typical Low $39.81 Median $46.77 Typical High $70.79 | Facility | None | $39.81 | $46.77 | $70.79 |
BCBS Nebraska Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $93.33 | Professional | None | $89.13 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $37.15 | Professional | None | $25.12 | $31.62 | $37.15 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $40.74 Typical High $46.77 | Facility | None | $39.81 | $40.74 | $46.77 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $51.29 | Professional | None | $20.89 | $23.44 | $51.29 |
Midlands Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $38.02 | Professional | None | $31.62 | $35.48 | $38.02 |
Midlands Setting Professional Modifier None Typical Low $26.30 Median $38.02 Typical High $41.69 | Professional | None | $26.30 | $38.02 | $41.69 |
United Setting Professional Modifier None Typical Low $15.85 Median $16.60 Typical High $51.29 | Professional | None | $15.85 | $16.60 | $51.29 |
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 $8.32 Median $12.30 Typical High $12.88 | Professional | 52 · Reduced service | $8.32 | $12.30 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $5.01 Typical High $5.13 | Professional | 53 · Discontinued | $3.31 | $5.01 | $5.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $3.72 Typical High $3.80 | Professional | 55 · Aftercare only | $2.51 | $3.72 | $3.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.66 Median $2.45 Typical High $2.57 | Professional | 56 · Pre-op care only | $1.66 | $2.45 | $2.57 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | JZ · No drug discarded | $16.60 | $16.60 | $16.60 |
Where Nebraska sits
The same service costs 1.9 times more in Wyoming than in Arizona. 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· 8th of 51
$25.70
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.