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 $60.26 Median $77.62 Typical High $131.83 | Facility | None | $60.26 | $77.62 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $77.62 | Professional | None | $60.26 | $60.26 | $77.62 |
BCBS Nebraska Setting Facility Modifier None Typical Low $54.95 Median $64.57 Typical High $83.18 | Facility | None | $54.95 | $64.57 | $83.18 |
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 $89.13 Median $158.49 Typical High $162.18 | Professional | None | $89.13 | $158.49 | $162.18 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $141.25 Typical High $588.84 | Facility | None | $104.71 | $141.25 | $588.84 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $117.49 Typical High $141.25 | Professional | None | $104.71 | $117.49 | $141.25 |
Midlands Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $158.49 | Professional | None | $89.13 | $112.20 | $158.49 |
Midlands Setting Professional Modifier None Typical Low $93.33 Median $100.00 Typical High $199.53 | Professional | None | $93.33 | $100.00 | $199.53 |
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 $72.44 Median $77.62 Typical High $114.82 | Professional | None | $72.44 | $77.62 | $114.82 |
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 $30.20 Median $30.20 Typical High $38.02 | Professional | 52 · Reduced service | $30.20 | $30.20 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $15.49 | Professional | 53 · Discontinued | $12.02 | $12.02 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $8.91 Typical High $11.48 | Professional | 55 · Aftercare only | $8.91 | $8.91 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $7.76 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $7.76 |
Where Nebraska sits
The same service costs 2.6 times more in Hawaii than in Colorado. 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· 3rd of 51
$105
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.