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 $199.53 Median $199.53 Typical High $204.17 | Facility | None | $199.53 | $199.53 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $204.17 Typical High $204.17 | Professional | None | $199.53 | $204.17 | $204.17 |
BCBS Nebraska Setting Facility Modifier None Typical Low $165.96 Median $218.78 Typical High $223.87 | Facility | None | $165.96 | $218.78 | $223.87 |
BCBS Nebraska Setting Professional Modifier None Typical Low $234.42 Median $245.47 Typical High $245.47 | Professional | None | $234.42 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $309.03 | Professional | None | $239.88 | $295.12 | $309.03 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $371.54 Typical High $977.24 | Facility | None | $186.21 | $371.54 | $977.24 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $229.09 Typical High $851.14 | Professional | None | $194.98 | $229.09 | $851.14 |
Midlands Setting Professional Modifier None Typical Low $295.12 Median $309.03 Typical High $316.23 | Professional | None | $295.12 | $309.03 | $316.23 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $489.78 | Professional | None | $239.88 | $316.23 | $489.78 |
United Setting Professional Modifier None Typical Low $190.55 Median $199.53 Typical High $239.88 | Professional | None | $190.55 | $199.53 | $239.88 |
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 $100.00 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $100.00 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.90 Typical High $30.90 | Professional | 55 · Aftercare only | $30.20 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $20.42 Typical High $20.42 | Professional | 56 · Pre-op care only | $19.95 | $20.42 | $20.42 |
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
$234
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.