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 $28.84 Median $29.51 Typical High $58.88 | Facility | None | $28.84 | $29.51 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $31.62 | Professional | None | $29.51 | $29.51 | $31.62 |
BCBS Nebraska Setting Facility Modifier None Typical Low $29.51 Median $34.67 Typical High $35.48 | Facility | None | $29.51 | $34.67 | $35.48 |
BCBS Nebraska Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | None | $38.02 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $17.78 Typical High $31.62 | Professional | None | $17.38 | $17.78 | $31.62 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $56.23 Typical High $169.82 | Facility | None | $28.84 | $56.23 | $169.82 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $37.15 | Professional | None | $30.90 | $30.90 | $37.15 |
Midlands Setting Professional Modifier None Typical Low $17.38 Median $18.20 Typical High $18.62 | Professional | None | $17.38 | $18.20 | $18.62 |
Midlands Setting Professional Modifier None Typical Low $14.45 Median $18.62 Typical High $28.84 | Professional | None | $14.45 | $18.62 | $28.84 |
United Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $37.15 | Professional | None | $29.51 | $30.90 | $37.15 |
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 $14.79 Median $14.79 Typical High $15.85 | Professional | 52 · Reduced service | $14.79 | $14.79 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $6.31 | Professional | 53 · Discontinued | $5.89 | $5.89 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $4.68 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $2.95 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.95 | $2.95 | $3.16 |
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· 47th of 51
$30.90
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.