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 $24.55 Median $24.55 Typical High $48.98 | Facility | None | $24.55 | $24.55 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $31.62 | Professional | None | $24.55 | $28.84 | $31.62 |
BCBS Nebraska Setting Facility Modifier None Typical Low $58.88 Median $70.79 Typical High $81.28 | Facility | None | $58.88 | $70.79 | $81.28 |
BCBS Nebraska Setting Professional Modifier None Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | None | $131.83 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $30.20 Typical High $43.65 | Professional | None | $29.51 | $30.20 | $43.65 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $37.15 Typical High $79.43 | Facility | None | $19.95 | $37.15 | $79.43 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $31.62 | Professional | None | $19.95 | $23.44 | $31.62 |
Midlands Setting Professional Modifier None Typical Low $29.51 Median $40.74 Typical High $44.67 | Professional | None | $29.51 | $40.74 | $44.67 |
Midlands Setting Professional Modifier None Typical Low $29.51 Median $44.67 Typical High $48.98 | Professional | None | $29.51 | $44.67 | $48.98 |
United Setting Professional Modifier None Typical Low $23.44 Median $24.55 Typical High $67.61 | Professional | None | $23.44 | $24.55 | $67.61 |
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 $12.30 Median $14.45 Typical High $15.85 | Professional | 52 · Reduced service | $12.30 | $14.45 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.75 Typical High $6.31 | Professional | 53 · Discontinued | $4.90 | $5.75 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $4.37 Typical High $4.79 | Professional | 55 · Aftercare only | $3.72 | $4.37 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.88 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.45 | $2.88 | $3.16 |
Where Nebraska sits
The same service costs 2.8 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· 9th of 51
$29.51
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.