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 $2,818.38 Median $2,818.38 Typical High $2,884.03 | Facility | None | $2,818.38 | $2,818.38 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,818.38 | $2,884.03 | $2,884.03 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,344.23 Median $3,090.30 Typical High $3,090.30 | Facility | None | $2,344.23 | $3,090.30 | $3,090.30 |
BCBS Nebraska Setting Professional Modifier None Typical Low $3,311.31 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,311.31 | $3,467.37 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $3,311.31 Median $4,073.80 Typical High $4,365.16 | Professional | None | $3,311.31 | $4,073.80 | $4,365.16 |
Medica Setting Facility Modifier None Typical Low $2,570.40 Median $5,128.61 Typical High $13,182.57 | Facility | None | $2,570.40 | $5,128.61 | $13,182.57 |
Medica Setting Professional Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $11,748.98 | Professional | None | $2,630.27 | $3,019.95 | $11,748.98 |
Midlands Setting Professional Modifier None Typical Low $4,073.80 Median $4,265.80 Typical High $4,466.84 | Professional | None | $4,073.80 | $4,265.80 | $4,466.84 |
Midlands Setting Professional Modifier None Typical Low $3,311.31 Median $4,466.84 Typical High $6,760.83 | Professional | None | $3,311.31 | $4,466.84 | $6,760.83 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $2,691.53 Median $2,818.38 Typical High $3,388.44 | Professional | None | $2,691.53 | $2,818.38 | $3,388.44 |
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 $1,412.54 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,412.54 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $562.34 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 55 · Aftercare only | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $281.84 | $288.40 | $288.40 |
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· 3rd of 51
$3,236
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.