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 $38.02 Median $39.81 Typical High $39.81 | Facility | None | $38.02 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $39.81 | Professional | None | $38.02 | $38.02 | $39.81 |
BCBS Nebraska Setting Facility Modifier None Typical Low $85.11 Median $107.15 Typical High $112.20 | Facility | None | $85.11 | $107.15 | $112.20 |
BCBS Nebraska Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | None | $213.80 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $61.66 | Professional | None | $47.86 | $54.95 | $61.66 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $70.79 Typical High $95.50 | Facility | None | $42.66 | $70.79 | $95.50 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $54.95 | Professional | None | $37.15 | $43.65 | $54.95 |
Midlands Setting Professional Modifier None Typical Low $54.95 Median $57.54 Typical High $61.66 | Professional | None | $54.95 | $57.54 | $61.66 |
Midlands Setting Professional Modifier None Typical Low $54.95 Median $58.88 Typical High $72.44 | Professional | None | $54.95 | $58.88 | $72.44 |
United Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $60.26 | Professional | None | $38.02 | $39.81 | $60.26 |
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 $19.05 Median $19.05 Typical High $19.95 | Professional | 52 · Reduced service | $19.05 | $19.05 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.94 | Professional | 53 · Discontinued | $7.59 | $7.59 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $6.03 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.80 Typical High $3.98 | Professional | 56 · Pre-op care only | $3.80 | $3.80 | $3.98 |
Where Nebraska sits
The same service costs 1.6 times more in Alaska than in South Carolina. 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· 6th of 51
$46.77
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.