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 $223.87 Median $223.87 Typical High $229.09 | Facility | None | $223.87 | $223.87 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $229.09 Typical High $229.09 | Professional | None | $223.87 | $229.09 | $229.09 |
BCBS Nebraska Setting Facility Modifier None Typical Low $186.21 Median $239.88 Typical High $245.47 | Facility | None | $186.21 | $239.88 | $245.47 |
BCBS Nebraska Setting Professional Modifier None Typical Low $257.04 Median $275.42 Typical High $275.42 | Professional | None | $257.04 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $338.84 | Professional | None | $269.15 | $323.59 | $338.84 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $416.87 Typical High $1,071.52 | Facility | None | $208.93 | $416.87 | $1,071.52 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $954.99 | Professional | None | $213.80 | $245.47 | $954.99 |
Midlands Setting Professional Modifier None Typical Low $323.59 Median $338.84 Typical High $354.81 | Professional | None | $323.59 | $338.84 | $354.81 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $354.81 Typical High $537.03 | Professional | None | $269.15 | $354.81 | $537.03 |
United Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $263.03 | Professional | None | $213.80 | $223.87 | $263.03 |
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 $112.20 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $112.20 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $44.67 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.88 Typical High $33.88 | Professional | 55 · Aftercare only | $33.11 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.91 Typical High $22.91 | Professional | 56 · Pre-op care only | $22.39 | $22.91 | $22.91 |
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
$257
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.