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 $37.15 Median $37.15 Typical High $38.02 | Facility | None | $37.15 | $37.15 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $38.02 Typical High $100.00 | Professional | None | $37.15 | $38.02 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
BCBS Nebraska Setting Facility Modifier None Typical Low $30.90 Median $39.81 Typical High $40.74 | Facility | None | $30.90 | $39.81 | $40.74 |
BCBS Nebraska Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | None | $42.66 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $57.54 | Professional | None | $44.67 | $54.95 | $57.54 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $42.66 Typical High $177.83 | Facility | None | $33.88 | $42.66 | $177.83 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $154.88 | Professional | None | $35.48 | $41.69 | $154.88 |
Midlands Setting Professional Modifier None Typical Low $54.95 Median $56.23 Typical High $57.54 | Professional | None | $54.95 | $56.23 | $57.54 |
Midlands Setting Professional Modifier None Typical Low $44.67 Median $57.54 Typical High $91.20 | Professional | None | $44.67 | $57.54 | $91.20 |
United Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
United Setting Professional Modifier None Typical Low $34.67 Median $37.15 Typical High $43.65 | Professional | None | $34.67 | $37.15 | $43.65 |
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 $18.20 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $18.20 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $7.41 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $5.62 Typical High $5.62 | Professional | 55 · Aftercare only | $5.50 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $3.80 Typical High $3.80 | Professional | 56 · Pre-op care only | $3.72 | $3.80 | $3.80 |
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· 4th of 51
$42.66
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.