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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $95.50 | Professional | None | $36.31 | $36.31 | $95.50 |
BCBS Nebraska Setting Facility Modifier None Typical Low $30.20 Median $38.90 Typical High $39.81 | Facility | None | $30.20 | $38.90 | $39.81 |
BCBS Nebraska Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | None | $42.66 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $56.23 | Professional | None | $43.65 | $54.95 | $56.23 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $69.18 Typical High $181.97 | Facility | None | $34.67 | $69.18 | $181.97 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $162.18 | Professional | None | $36.31 | $41.69 | $162.18 |
Midlands Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $56.23 | Professional | None | $54.95 | $54.95 | $56.23 |
Midlands Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $91.20 | Professional | None | $45.71 | $56.23 | $91.20 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $43.65 | Professional | None | $34.67 | $36.31 | $43.65 |
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 $18.20 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 55 · Aftercare only | $5.50 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $3.63 |
Ambetter Setting Professional Modifier JW · Drug discarded Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | JW · Drug discarded | $36.31 | $36.31 | $36.31 |
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
$43.65
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.