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 $56.23 Median $56.23 Typical High $66.07 | Facility | None | $56.23 | $56.23 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $61.66 | Professional | None | $56.23 | $60.26 | $61.66 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
BCBS Nebraska Setting Facility Modifier None Typical Low $48.98 Median $61.66 Typical High $66.07 | Facility | None | $48.98 | $61.66 | $66.07 |
BCBS Nebraska Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $69.18 | Professional | None | $66.07 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $91.20 | Professional | None | $64.57 | $83.18 | $91.20 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $79.43 Typical High $257.04 | Facility | None | $52.48 | $79.43 | $257.04 |
Medica Setting Professional Modifier None Typical Low $51.29 Median $58.88 Typical High $70.79 | Professional | None | $51.29 | $58.88 | $70.79 |
Midlands Setting Professional Modifier None Typical Low $83.18 Median $85.11 Typical High $93.33 | Professional | None | $83.18 | $85.11 | $93.33 |
Midlands Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $102.33 | Professional | None | $64.57 | $93.33 | $102.33 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $75.86 | Professional | None | $53.70 | $56.23 | $75.86 |
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 $28.18 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $28.18 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $11.22 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $9.12 Typical High $9.12 | Professional | 55 · Aftercare only | $8.51 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $6.03 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.62 | $6.03 | $6.03 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | JZ · No drug discarded | $117.49 | $117.49 | $117.49 |
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· 4th of 51
$66.07
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.