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 $46.77 Median $46.77 Typical High $93.33 | Facility | None | $46.77 | $46.77 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | None | $46.77 | $46.77 | $47.86 |
BCBS Nebraska Setting Facility Modifier None Typical Low $46.77 Median $54.95 Typical High $56.23 | Facility | None | $46.77 | $54.95 | $56.23 |
BCBS Nebraska Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $64.57 | Professional | None | $60.26 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $77.62 | Professional | None | $52.48 | $52.48 | $77.62 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $89.13 Typical High $263.03 | Facility | None | $58.88 | $89.13 | $263.03 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $70.79 | Professional | None | $58.88 | $58.88 | $70.79 |
Midlands Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Midlands Setting Professional Modifier None Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | None | $72.44 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $70.79 | Professional | None | $56.23 | $58.88 | $70.79 |
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 $23.44 Median $23.44 Typical High $23.99 | Professional | 52 · Reduced service | $23.44 | $23.44 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $9.55 | Professional | 53 · Discontinued | $9.33 | $9.33 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.68 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.68 | $4.68 | $4.79 |
Where Nebraska sits
The same service costs 1.6 times more in Alaska than in Pennsylvania. 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· 10th of 51
$58.88
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.