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 $26.30 Median $28.84 Typical High $57.54 | Facility | None | $26.30 | $28.84 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $29.51 | Professional | None | $28.84 | $28.84 | $29.51 |
BCBS Nebraska Setting Facility Modifier None Typical Low $8.13 Median $9.55 Typical High $9.77 | Facility | None | $8.13 | $9.55 | $9.77 |
BCBS Nebraska Setting Professional Modifier None Typical Low $9.33 Median $9.77 Typical High $9.77 | Professional | None | $9.33 | $9.77 | $9.77 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $23.44 Typical High $25.70 | Professional | None | $22.91 | $23.44 | $25.70 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $54.95 Typical High $158.49 | Facility | None | $26.30 | $54.95 | $158.49 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $36.31 | Professional | None | $30.20 | $30.20 | $36.31 |
Midlands Setting Professional Modifier None Typical Low $22.91 Median $23.44 Typical High $23.99 | Professional | None | $22.91 | $23.44 | $23.99 |
Midlands Setting Professional Modifier None Typical Low $19.05 Median $23.99 Typical High $38.02 | Professional | None | $19.05 | $23.99 | $38.02 |
United Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $36.31 | Professional | None | $28.18 | $30.20 | $36.31 |
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 $14.45 Median $14.45 Typical High $14.79 | Professional | 52 · Reduced service | $14.45 | $14.45 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.89 | Professional | 53 · Discontinued | $5.75 | $5.75 | $5.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 55 · Aftercare only | $4.37 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $2.95 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $2.95 |
Where Nebraska sits
The same service costs 4.7 times more in Alaska than in Hawaii. 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
$28.18
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.