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 $16.98 Median $16.98 Typical High $17.38 | Facility | None | $16.98 | $16.98 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $17.38 Typical High $45.71 | Professional | None | $16.98 | $17.38 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
BCBS Setting Facility Modifier None Typical Low $14.13 Median $18.20 Typical High $18.62 | Facility | None | $14.13 | $18.20 | $18.62 |
BCBS Setting Professional Modifier None Typical Low $19.95 Median $20.89 Typical High $20.89 | Professional | None | $19.95 | $20.89 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $26.30 | Professional | None | $20.42 | $25.12 | $26.30 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $19.50 Typical High $85.11 | Facility | None | $16.60 | $19.50 | $85.11 |
Medica Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $4,897.79 | Professional | None | $16.22 | $19.50 | $4,897.79 |
Midlands Setting Professional Modifier None Typical Low $25.12 Median $25.70 Typical High $26.30 | Professional | None | $25.12 | $25.70 | $26.30 |
Midlands Setting Professional Modifier None Typical Low $20.42 Median $26.30 Typical High $28.84 | Professional | None | $20.42 | $26.30 | $28.84 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $16.22 Median $16.98 Typical High $20.42 | Professional | None | $16.22 | $16.98 | $20.42 |
5 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 $8.51 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $3.39 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $2.57 Typical High $2.57 | Professional | 55 · Aftercare only | $2.51 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $1.74 Typical High $1.74 | Professional | 56 · Pre-op care only | $1.70 | $1.74 | $1.74 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | JZ · No drug discarded | $17.38 | $17.38 | $17.38 |
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· 2nd of 51
$19.95
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.