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 $81.28 Median $81.28 Typical High $85.11 | Facility | None | $81.28 | $81.28 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | None | $81.28 | $85.11 | $85.11 |
BCBS Nebraska Setting Facility Modifier None Typical Low $69.18 Median $89.13 Typical High $93.33 | Facility | None | $69.18 | $89.13 | $93.33 |
BCBS Nebraska Setting Professional Modifier None Typical Low $95.50 Median $100.00 Typical High $100.00 | Professional | None | $95.50 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $128.82 | Professional | None | $95.50 | $123.03 | $128.82 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $154.88 Typical High $338.84 | Facility | None | $72.44 | $154.88 | $338.84 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $338.84 | Professional | None | $75.86 | $91.20 | $338.84 |
Midlands Setting Professional Modifier None Typical Low $123.03 Median $125.89 Typical High $131.83 | Professional | None | $123.03 | $125.89 | $131.83 |
Midlands Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $204.17 | Professional | None | $95.50 | $131.83 | $204.17 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $77.62 Median $81.28 Typical High $97.72 | Professional | None | $77.62 | $81.28 | $97.72 |
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 $40.74 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $40.74 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $16.60 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.88 Typical High $12.88 | Professional | 55 · Aftercare only | $12.30 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.51 Typical High $8.51 | Professional | 56 · Pre-op care only | $8.13 | $8.51 | $8.51 |
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· 2nd of 51
$95.50
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.