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 $186.21 Median $190.55 Typical High $426.58 | Facility | None | $186.21 | $190.55 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $190.55 Typical High $501.19 | Professional | None | $186.21 | $190.55 | $501.19 |
Ambetter Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
BCBS Nebraska Setting Facility Modifier None Typical Low $154.88 Median $204.17 Typical High $208.93 | Facility | None | $154.88 | $204.17 | $208.93 |
BCBS Nebraska Setting Professional Modifier None Typical Low $218.78 Median $229.09 Typical High $229.09 | Professional | None | $218.78 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $275.42 Typical High $288.40 | Professional | None | $223.87 | $275.42 | $288.40 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $346.74 Typical High $891.25 | Facility | None | $181.97 | $346.74 | $891.25 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $218.78 | Professional | None | $181.97 | $204.17 | $218.78 |
Midlands Setting Professional Modifier None Typical Low $275.42 Median $288.40 Typical High $295.12 | Professional | None | $275.42 | $288.40 | $295.12 |
Midlands Setting Professional Modifier None Typical Low $223.87 Median $295.12 Typical High $323.59 | Professional | None | $223.87 | $295.12 | $323.59 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $177.83 Median $186.21 Typical High $223.87 | Professional | None | $177.83 | $186.21 | $223.87 |
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 $93.33 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $93.33 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $37.15 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $28.18 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $19.05 Typical High $19.05 | Professional | 56 · Pre-op care only | $18.62 | $19.05 | $19.05 |
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
$219
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.